HomeMy WebLinkAbout2652 ~~c~~r~atic~~ af Do~icile and Citiz~nship ~ -
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l c) "I t ll~. ti'1'A'11: ANU ('C)UN1'Y "1'/1\ ASSI:SSUR, zC~•~o8 ;
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S~.l.ucie
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71?i~ is my drelar.~tic~n af Uoinicil~ ,t«~i c~c1.~~~.n~~ in thc Statc oT Florida th:?t 1 am filin~ lhis day in ~
~
ac~•orcl:inrr, ;in~) in confortnity with Scction "'2?.17, Florida Statutcs. i
~ 1 wus forn~c rly a 1.~;~al resiJrEii of and I
(CitY.). _ (St:te)
residc~ at ______._~ii~t-- ~ . However, 1 have changed my domicile to ~
• ' eat and Number) ;
and ~m and h.~ve bc~u a buna fide residcnt of ihe State of Florida since f~''~ day of ~
now . . ;
, 19~.~ , and 1/~residc at ~3 X-~ `
- - . i
~ ~ (Street snd Number) i
~d~ ~ ,,cc.Cc..eJ . St . Lucie County, Florida,
(c;~r)
ancl this statemrnt is to bc taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insrrt here any {~ertioent facts, such ac sale of property or business, or relinquishmertt of employment at formet
domirile, removal nf famity t~ new domicile, purchase ot Aome, etcJ
~
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Entering chi.ldren ~.n school: ~yn,v,~~
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1~.11~CrE Lpu~in Fi~ -
AG~E= F-Ct'RAS
CLEt~K Ct~;;;ll;= ~OURT
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1 FURTHER CERTIFY that I wil! register at my tocal address when the registration books reopen, and ;f
comply ~vith ail other requircmrnts of a fegal resideni of this State.
F
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, St. Lucie , County,
rlor~~la crmanently. (c~~r)
;eo~
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C~~: y~~ ; ,4;'...Y _
~ ' ` t~ (Name)
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_l , . • - ~r: (Address)
'r~ '"~?C•'~s ~ / . .
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'S~V~i'n.tti..anel'~i~ilciibc~~i bcfam mc thi; day of ~
..~C/ e C p ~ ,
~ - A.n. t9--- 73-- ~
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u~)CTR P~ITItAS, CL~kK CIRCUIT COURT ~
- - - -
~'~Y ~ - ~1C 80~( 2~8 P~t#'~~
l)epsiry Cl ~'c
(7u hr .~~•rutc:l in ~h~;~li.:~tr and uri; in.~ d: d~~~Ih ('Irrl, ('iri~~il C'uu~t. anJ Juplicatr wilh Tax A~scsw~r)
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