HomeMy WebLinkAbout1498 • . ' ~ ~
~~e~~a~ ~~zEan ofr ~oi ~ ~
~ c, ~i~~ic s~rn-rc nnu cc~un~~~Y ~~n~ ,tssi~:sti~?t, 26'76`78
St.Lucie
- -CUUNTl', I~LURII)A:
'Tl~is is my drelaratiun of llomicilc ancl C'itiirn,l?i~~ in th~ St:il~ af {~lorida that ~ i am lilin~ tl~is day in ,
coniancc, and in conformit~~ with Sertion ~?'J 7, Floricla Statutcs~. ~
1~vas forn~rly a Icgal resident of _ Q 6 v_~''1 t=A ~ bt.c/s ~ c.. L r N o e~ ~ild I ~
(c~cr) (s~a~r) ~
r~~~idcd at ~ 7~ S7' f~Eo R~E ~l f~~ U E Howcvcr, [ havc chan~;ed my da~l~icilc to ;
(Street and Number)
and am and have been a bona fide resicleni of the Statc ~r r•~o,-;az sincc ~~S l7 ~ day of
j ~ ti now
- , l 9~~, and I/re,icle at _ l~ I 7 Lt1 ~ S i M 0 R C-~ a N~ Q L., v~..'7
(Street and Numtxr) ~
Po Rr ST. L J c a~ St. Lucie ~ '
, - , County, I'lorida, _
(c~~y) '
. ;
and this statement is to be tahen as my declaration of citicenship, actual lcgal residence and domicile i~i the State ~
of I~lorida. -
(Insett here any perlinrot facls, such as sale of propetty or business, or retinquistiment of emptoyment at torme~
domicile, remoyal of family lu ne~v domicile, purcl~ase of home, rtc.)
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1 FURTHER CERTIFY that [ will rcgister at my local address wlicn the re~istration books rcopcn, and , j
comply with all other requirements of a legal resident of this State. ~
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I FURTHER CERTIF'Y that I l~ave no intention to return to my fornicr domicile, and I intend to rcmain in
~ ~ .s ~ .'C. u ~ ~ S* . Lucie 3
, County,
Florida, permanently. (c''r) ~ W a c D b;
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`:•u ~U~ , ' ' " , ~ _ ~'T ! 7 Gl~~.~T l~j o R E c N D B L J 17 . - ~
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Swart~+i~.~gc~:s~ubsCri,~cc~cfore me this day of
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`lr''• -y'~•~v
~O 1~ A. D. 19 ~ 3
~~1r~.~ 7 • - ~
ROG~•ReP~„~;~t~,ij CLERK CIRCUIT COURT
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_ '.a.~..' wli~ry~Y ~tit~ ~ ~y A
_By ,.~~C_ t C~i ~ ~~U ' ~'t9~ 1
. _ . . _ eputy e ~r~,~~ ;..~t I .
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(Tq be eaeculcd in Juplic~lr anJ uri~•~n.~ ~IrJ ~virt~ ('Irrl. Circuit (burt. anJ Juph:rtr ~~itl~ "1'r~ Asu:~nr) -