HomeMy WebLinkAbout0926 C ~..o-~--..~-.--
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TO THE CLERK OF THE CIRCITIT OOt1RT.
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~~C ~~V C.. \ ~ OOUNTY. ~'[.ORIDA: ~
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ThLs is aqr deelaration ot DomiciN and Citi~enship ia ttit 8tab af ~'foeida that I am ~ thi~ dq ia aeeord~aes. and is
coatocmicr ~.;te seccion 228.17, I~'lor;da scscuc~s. • .
I waa tormerlp a kgal t+esideat at `'El~ 1'~ SJ 1\\ Q , 1 V~ and I
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resided at 1{~~ - - Ho~?ever. I Lave ehap~ed m~ doa~ie~s to
l8tawt a~d N 1 .
ana ,un aaa n.,?~ b~en: ea,. r,de n~deAt at che sc.Le at Floria. s~e. c. \b ~ ay? d
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aad this statement is to be Wcen a~ m~r dec4ratlon at eitise~rh~. setaal k`al reidenos aad domieiie ia t~ State d Flar~d~.
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ST. LIJCIF CGG'r', ~ i
RCG~R F•GI?!~ :S
CLENK CInCU11 C{::.€
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63'7522 .
_ I FLJBTHER CERTIFY thaL I w71 register at my local addreu w6en the re~istration booics s+eopen. aad oompt,~ with all
other requirements of a kgal resident of tLis State.
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I CEBTIFY that.I have no intentian to return to my ia~m~ domicile. ind I intend to remain in
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~ Florida. permanently. . '
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