HomeMy WebLinkAbout0949 G'
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Declaration of Domicile and ~itizenship
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TO THS CLEEtK OF 7`HE CTACtJ1T OOURT. .
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T~h is ~ d~el~rstio~ DooieD~ ud t~seas~ !s t~t 8tat~ ~i f'tiorWa tsat I a~o t3iiu~ t1~b dy h~c~ordano~. and in
. oPnfo~nit~ ~?it~ Sati~ !3l.IT.llorida &atut~a. ~
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I was~~a k~al residtat of r\ ~ ~`i L t , ~ (c., • and t ' -
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~ e~sided ~t l~ 3 T - Howe~er. I tur~ ehae~ed m~ domle~7e to
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u~d am a~d have b~e a bona tid~ rasid~pt ot tl~t 3tatt ot F'torida slna ~7` da~ ot
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and this statcment L!o b~ takeo u m~ de~etaratioa o~f eit~ensUtp. aetual kp1 e+e~idenc~ and domie~t in tbe Statt of Florida.
If for the purpose of ~rolling -
children in public school, please
~ state ir nanes : '
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I FUR?HER CERTIFY that I ~r~1 register at m~ local address when tt?e registntjon boolc~ reopen, and comply .rith aD
~ other requiremenb ol a k~a! re~ident of this State.
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~ I FURT,}~E,R CERT~FY that~,I ~aw t?o intentioa to retura to cn~ fornxr domic~le. and I intend to remain in
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~ Florida. permanentl~. 61~93
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By ~ty 30~~~ PaGE .
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