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HomeMy WebLinkAbout2694 M • • ~ • C,~ ~`t ~vZ . ~~'(:~C:'rc..c~~ :e.~:<'r~ CJ~i v~: e i~ ~i~::~ ~ :1`c ~i t.l : l~: .~i~~~ 1~"g ~ ~~~o ~i~i~i: STA•ri: nNU coun-r~~ ~•nx nss~:sso~z, ~ . ; ST. LU.CI'E --CUUN'1'Y; I~1.U1:InA: ' • . . , . ' ~ ~ 'Iltis is tny dcclar:ition ot Uomicilc 111(I CIIiZGIISiII~I i~~ thc Statc of l~lorida th;it 1 am filiii~ this day i~t ' , ~i accorda~~cc, and in conforn~ity with Scction 222.17, l~larida Statutcs. , ~ 1 was tormcrly a lcg:il residcnt of ~~l j' d _1 Q and I ~ . • S(~ ity)Se ~ o t o , (sta~e) . ~ residcd at D~Rh~ . Ho~vcvcr, I havc cltangcd my domicilc to ' i (Street and t~umber) • ~ and am and l~a~~c bccn a bona Cdc residcnt of tlie Statc of Clorida sincc day of' ~ , 19~.y ~ and I residc at .r~S~ ~~~X~A--~- . / ; • (Strcet and 1~lumber) . . ST. L.UCIE County, rlorida, t '~r) ancl tl~is statement is to be taken as my declaration of citizenship, actual le~al residence and domicile in the State or r~or;aa. - . - ~ - . ; (Insert here any pertinent facts, such as saic of properly or busineu. or relinquishment oi employmcnt at formec domicile. removal oi family to new domicile. purchax ot home~ etc.) - i - . • ~ - _ . . _ ~ ' , ' _ . • . . - - , ~ ~ : . • ~ ~ . ' . . . • . ~ . . . . . . • • . , ~ Applying for homestead : . ~ - ~ ~ ~ . - . . . _ - Entering children in school : - . - ~ = . '~I. ~ ~ - . . _ _ - . - . - . - . . . - . _ - - ' . : - . - - : _ . ~ - _ _ . . . Other: ~ ~ • _ - . - - - - . ' . . . . _ , - ~ ~ ~ - . ~ ~ ~ ~ . _ ~ 7?`~.~'~.e' . . - . . . ~ . . - - I _ . : . . . . _ ~ - : . - . -c-. - _ • _ . ~ r . i~`F~~- f • ' . . • • . • , - _ . , ? ~ { . . . - . . pLEQ AMD N CpRp - ~ . - ~ - ~ ' _ ' ~ ~ . ! - - . ~S-~sLO~`tE COU~TY.F~~-'. - - - ' ~ ~ ~ . . . . . - RO~f~t pQ1TR1~ ~ . - = . . ~ - . . • - . - ~ - - _ . ' - C1BRK~CIRCU1t~COUR~- ~ ~ . . ' ~ . . ~ : . ~ - = - • ' . _ ~ - _ ~ REOaRQ.YERIffEb.,~,~ ; - ; . • . • ~ . . ~ ~ ~ - - , ~ ~ ~ - ~ 1~a .-I~I-3o~-'13 ~ ~ ~ - ~ . _ - . . . . - ~ . _ - : ~ . - - ~ s ~ : : . : . . . - ~ - - _ _ - ~ - - _ - . . - . _ 262~'~~~ . ~ - ~ : . . . - . _ . • . . . _ : . ~ . _ : . : . - . I rURT1iT_R CERTIFY tl~at 1 will rcgistcr at my local address whcn thc rcgistration books rcopen, and comply with all othcr rcquircmcnts of a lc~al residcnt of this Statc. . I FURTI-iCR C RTIrY that I have no intcntion to rcturn to my tormcr domicile, and I intcnd to rcmain in ~ ~ St~. Lucie County, ~ I~lorida, pcrn~ancntly. tc'`''~ . . ~ro.v ta.y~ ~ ' . • 4 . v ~ • f ~ ',)t~~.. CO . ~ (Name) ~t •~~~,~e ~ -•,,~•~~~ii~.. . - _ ~ 1 c:/ . ? { - ~ G~'; ~ , ~ . (Ad ) ~ ~ y ~y . ~ ~ ' ~ : J~ ; } . ~ . ~../~-S.~l..c.L/ ~ ~ ~ ~ ~ ~ ~v~ , ~ ~~voi~i:tp~* nc~•$~i~~ r~~qil~cforc mc ihis day of ~ . . . , ~ ~ . • ~ i . / ~ ~~~i ~ • . s /l.1). 19_ 7 3._, ~ : : i~~~~'~` . 4 i;(~;;l:R PUI'1't:A~, CI_i?i:l: Cr1ZC lIT CnU1;7' " ti R ~QOK Z17 ~~2685 ~ , . ~ , . 1fY~c.q ~ - - - - D . C . ~ '1 , . . ~ ?''~"~~'"~,,-`~`a~ s'~ ~ ~..~s ~r, 1 R" : ~~?~5 ;r • s = _ _ 1 ~ _ f