HomeMy WebLinkAbout1364 ~
D~c~~ratior~ of C~om~ciie ~r~d Cifi~~nsh~~ 2s33o3
I O1111: S"fATI: A\1) ('UUh7'Y '1'A\ ASSI=.SSUit,
St.Lucie
- - -----._C'OUhTY, E~LUItIDA:
'I1?is is my drelaratic~n of~ 1)ort~icile an~i Citiz~n~liil~ ii~ th~ State cif Ftorida tltat I am Iili~iE this day in
:~ccordancc, and in conTorniity wiih Scction ?22. t 7, ~lorida Statutrs.
I was fonnerly a Ieral resident of ~,%r _ and 1 ;
. (city), (stacc> ;
resided at ~9~' ~ Howe~-er, 1 have changed my domicile to
~ (Strett an urt~brr)
and am and have becn a bona fide residcnt of the State oF rlorida since a day o1' .
now .
- , 19_~, and 1 ~resicic at __~s.~ ~
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~ St . Luc ie ~ County, Fiorida,
(c;~r) -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in tlie Statc,
of Florida.
(laurt here any {~e~tinent tacts, such u sale of property or bucireess, or relinquishment of emptoymcnt at. former
domicde, removal of lamily to new domicile, purrhase of home, etcJ ;
~6.3303 ~
f1LED AMO qfC R
ROC~R ?4tTRAs ~ +
Entering children in school : C~E~K c~~cu~T cou~t~f
RECAR~ YLRtf1ED
~.-~~y*.~- 7? ~ ~O IZ A3 PH'7~
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' 1 FURTHER CERTIFY that [~viil register at my local address when ihe registration books reopen, and
i comply ~vith all other requirements of a legal msident of this State. .
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~ I FURTHER CERTlFY ihat I have no intention to return to my former domicile, and I intend to remain in ~
- St. Lucie , County, '
~ Florida, perm ntly (c'"'~
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` . Dolores ~''me~Hunneman_ _ _ _ _ -
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Swor~.l,a~d sG~crib~'li~fprc mc this ~lay of ;
~ } A.D. l9 73 '
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3 !;~~~t;;pDIT~A$;'~ CLERK CIt~CUI'f COURT ~
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(Tu he esrcul~ d dupl~r.u~~ and t.ril~en.d t~li•d ~~~ih ('h•~1. (iR uil ('owl. ~nJ d~tpli. atr ~~~Il~ (.i\ At;c~~u~) ~
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