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Home My WebLink About0650 ~ l ~c~~~~r :~:~c~~~ ~~~~~c~~-~~~Q~~ ~ . . . , . - • . ~~~'~'~t,~~.~, ~ TO T}lE CI.~RK UI~ THE CIRCUtT COURT, - , ST ~ l. UC I E COUNTY~ FLOItIDA;. . ~ , Thi3. is my d~clarnt~on ot l~omiciie •nd Citc:en9hip in iho Stnto of F!orida th~~ I em [iling this dny in accordancc, and in , tontormily with Section 2~.1i, ~loridn Statutes. ~ ' ~ L r ~ , ~ ~ . c ~ , i wss fo~~mcrly a le~a! resident of ~~5~.~~~~r ~J ~ ~-p~~~~~-~' and I (City) . lStatc) i ~ . resided At ~/l . Howevor, I ha~•e chansed mr domicile to _ ~ tSlreet u~d NamDer) - ~ ~ ~nd am and have bcen a bona tide resident ot the State of Flvrids ainre ~ day ~f ~C.~ - _ - - - - ~ - ~ , - .19..~~ir.d I reside at_ ~ - _ n ~ - , (Strcet ~i+d NumDcr) ~ ' _ - ' ST.. l. UG I F~ ' - CounEy. Florida. _ - (Cit~) . . ~ - __s?nd this statement i~to be taken as n?} decleration of citizenship, actuai legal residence and domicile in the State of Florida. . I F FOR THE PURPOSE . OF ENROLL i NG - _ I F FOR 'HOHESTEAQ P~lRPOSE-S;~ . CH 1 LDR_EN i N SCHOOL~ PLEASE ST~1Tf.. ~ ~ Pt,~A5E CfI~CK: THE tR NAMES: . _ _ - . . - FILEU A~fi• =ECi}RU~p ~ ~ - ST.~.IJ~I~ ~]UYTY fLA. ~ . ~ ~ f!0&E'r r ~::S~AS • i - - ~ ' C! EF?c i::"Cti~? CQURT ~ . RE~OF~`• Y~'.•=;E?~ . - . - ~ - - i . _ i ~ . _ - _ - -~4Ar_fi_ 3 46 PH'Z~ : ~ - ~ - - - - ~ ; _ _ _ - _ _ - ~ - ~ ~ ~0'74~5 ~ . . - - ~ - - - - ~ ~ _ _ - - . - - - - - - - ; - - - _ _ - ~ i FURTI[GR CFItTIr~ ihat J K•ill re~islcr at rny lxal address when thc re~,-istration bac,l;s reo~~n, anJ camply ~~~ith ~ll ~ i oiher rcq~~irementt u[ l~~a! residcnt ot iLis Stale. • - _ ~ _ - - ; - ~ . ' I FU1 11L•',t ; C'ItT~ ihat I ba~~e no iutcntion - to rettlrn to my former _ d~micilc, and 1 intcnd to rcmaiu in ~ ' ~T •--L u c i c-- - . C~,~~~,tS~, - - (c~cp1 . _ - _ ~ Florida. pcrmaneenti;: - _ - - . - - , - - - - - _ _ - ` ~ . ~ - . - - ~ , ';:_s = - _ . - _ . ' - x _ • ~ iF~ ^ • ~ ~ _ - ~ ~ - - - . - - ~ f ..~~±'.~IT~~. L . . _ ~ _ ' S:'•1_ j v+~,r~.~'* . - . t ~ , aTS~ F~~~~~ r~~~~ri . _ ~ - - - - f - ~t ~ . . _ - ~ • ~ !^y~~ : - ~ . _ ' . ~ . ~ ~ ~ ' ; ~ . . . = ~ : G~3 ~tY~~ t l~i• s _ ~ _ ~ _ r~ yl ~=i~ ~ ~ `3.f! _ . ~ . - i _ ' . . . ~ . S - . _ ' ~ . _^~!/,~47,;' •<`!-=--F , : . *l7~~ ..s~~ ~~~Vr . ~ - ' _ - . - . _ - ~ :r Y ~ ` _ I;~en~r) 1 - . ~~`~t 1 ~4fR~~ ~ . ' . " " [J , y~ : <-.,t, r - - ------~--~1-~~ r' ~~C - - 5F; j~ ; 's4 . - ~'~~i~,~~~ ~~11~`ut~~ ' _r ~ _ ' (/:ddre~s} _ 7 S~ti~c~r n to ~,nd -ti~~~cr~f c d(,! foi ~ rnc~ t i~'s5 da}~ of ~ ` = - - - i ~-s.~~! A.l). 1:~ -f!_~~~ - - . . . _ . = R(li:!_fZ__!'U__'Ti:li^~_ Gt_i;E21; __(.~f~G I ~ ~_t)! T_::UU:2l' ~ _ " . ; ; - - _ - _ - _ . ~ ST. t_U~ I t- CC)Ut•1T`f, i~~.O,;lf)/t _ . ; ~ - • _ - ~ - ~ ' ~ _;~f - . - _ - ~ . ~ - - ~ ~ ~:i - > 1 ti• ~ ~ i: i: . _ . - - ; L~ . _ _ - - . - : - ' . - _ - U K -~`~y PAGE ~ - - - BOOK • i . ' . ' - - A(:r3'r.;s:~7i :':i ~ ~ - . ~ - . _ _ ~ s - . ' - !