HomeMy WebLinkAbout2237 D~;ci~r~~ion of I~om~~s~e ~~d C'stiz~nship ~
~~o ~~iit: srn~~i: nN~~ c'UUN"l'Y •~~~x nss~~:ssc~ii,
St . Lucie 263915
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Tl~is is my dcclaration of Uomicilc :u~J Citizcnshi~~ in !hc Statc of i~lorida that 1 am filing this day in
accordanrr, and in conformity with Scction 2''2.17, Florida Statutrs.
! was formcrly a lrgai rcsi~ient of C~ (~~S and 1
s~"~ ~ Cit):l. (Slatr)
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resided at _ b~5 . N~ ~ . However, 1 havc changed my domicile to
' (Sl~eet nJ Number) S~
and am and ha~~e been a bona fidc residcnt of ihe State of Florida since day ot
J n~W INDIAN +VeY Ri
V~ , 19~~., and 1/Fcside~ at _~.~q~- ~ ~ l~L°-
' s (SUeet and Number)
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~t. Lucie_ _ -
. rURi 7eFCG - . , ~ _ - - County, Ftarida,
(ci~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inseri here any perlinent tacis, such u salc ot property or business, or relinquishment of employment at former ~
domicile. temaval of family to neN• dumicile, purchax of home, ctc.)
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Entering children in school: ~
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FILEO AMD flECOROE~ ~
ST_ lUC1E COUMTY F~A.
ROCER POITfIAS ~
CIERK CIFt~Utt COURT ~
RECORO VERIFIEO ~
~P ~8 II 49 AM'73
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I FURTHER CERTIFY that 1 will re~ister at my local address when the registration books reopen, and
comply with all othcr requirements of a icgal resident of tl~is State. .
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! FURTHER CERTIFY that I l~avc no intention to rcturn to my former domicilc, and I intend to remain in I
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_ ~ ORY 1~ ~C~ ~ St . Lucie , County, ' F;
~ Florida, permanently. ca`r~ ~
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~ 1~O~Cv~~•~ d~~AS, CLERK CIRCUIT COURT
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