HomeMy WebLinkAbout1236 Decsuru~~~~ c~ [~~~aic~~~; an~ Cif it~r~~~:p .
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"Iltis is my ~tcclaralic~n of Uantis:ilr an~l ('itizcnshi~~ in th~ Siat~: ol' ~~Iorida that t am fling thi.'d,~~~ in i
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.iccor~l:incc, an~l iii confonnitv with S~ctioi~ 2~'. i 7, (=ic~ricta Stat~rt~s, _ ~
I~vas formrrly a Icg:~l resiclei~t ot o/. and 1 -
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r~sidcd at ___Ll~. . Howcvcr, 1 havc changcd tny domicilc to
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and am and have bcen a bc~na fidc rrsident of tlie Statr af hlorida since day of
naw .
- - - , 19. ~3 , and I /~rc~idr ai ~~/~_~o._ _ _ -
(Street and Numbet) ~ -
_y_ - _ . St Lucie Caia~ty, Fl~rida, !
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and this statcmeni is to be [akrn a; my ci:~rlarutioii ot' riiizce~slsip, act::;~l l~bal resi~ence ~nd ciomicile in the State i
of Fiorida. . ~
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(Insert here any prrtincnt facts, such as wle of pruperly or busincss, or relinyuishment of employment at fotmer ~
domicile, removal of tamilr to ne~r Jumicik, putchase of homr, ctcJ
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Entering children in school: ~
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FIL~D ANO RECfl ~
ST.IUCtE ~0lJMTY f~A, ~
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1 FURTHER CfiRTIC'Y that I will rckister at my local address ~~~hen the rcgistration books reopen, and .
comply with all other rrquirements of a lc`~~1 msident of this State.
1 FURTHER CE ~Y that 1 have no intention to rcturn to my forn~er domicile, and I intend to remain in
f _ Lucie - ;
- St . , Count~~,
}~lorida,~~crmancntly. ic•~ty~ (CL/6e~¢t ~R~"i,Z~ .T~•n-/ ;
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(Tu !rr eiei'utrd in .1u~.li..ni :~n:i ~nn n~.,i f~~~• ~Ih ('Ic~i ( ncmf l'nurl. :~hJ Ju~,li.atc ~cilh Tc~t A:us1~~t)
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