HomeMy WebLinkAbout1748 . ~ , . . . y~ ~
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~~~~t: s~rn~rt: ,~n~~ c•c~u~~~Y nssi :s~c»t, .
st . l.uc couN~r~-, r• LOlti UA: rZ6'7839
'lliis is my ~I~•clar.~li~+n of Dumicilc ancl Citizci~ship in thc Statc of E~lorida that t am fili~ig this day i~i ~
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;,.~ror~lancc, ,~nd iiz confc~rmit~~ ~.;!!i Scction ~??.17, f
lurida Statutcs. :
[ was fornicrly a lcb;+l residcnt of ~.~?Z~1,~)'t I C.k' , I~W ar~- ~d I
(ci1Y) tstats)
r~~idcd at >~ialG~/A_w~ l~~. . Howcvcr, I have changcd my domicile to
($tteet and (~iumlxr) ti
ar~d a~» and h.,ve bcen a bona Gdc residcnt of the State of Clorida since G day oi'
I10W ~ ?
_ ~~N1'~wlL1E~ , 19~~, and 1/~csidc at LO~ ~'EL~s?lA
~ 5~~~ V (Street and Number) . .
/~n,,~ S J' ~c~ ~ J St . Lucie County, Florida,
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snd this statement is to be taken as my declaration of citiz~nship, actual legal residence and domicile in the State
of Flori~ia. ~ ' "
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(tnurt here an~• prrtinrnt facts, such as sal~ ot propetty or business, or relinquishmcnt of employment st torme~ i;
domicile, temoval nt family to ne~v domicile, purchur ot homt, eleJ
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Entering children in school: n,~,r~ _
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~ O1-rLCVi~-~'~ L1 FILEO AMt? RfC9RDE0
ST.IUCfE COUNTY flA. ; ;
RUCE~ POtTRAS ~ 4 ±
CLERR CtnGU~T COURT C
~ RECCR_ VEzt=l~0 i
1
~ . Nov 6 2 23 PM'73
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~ 26~839 • . ~ ~
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; I FURTHER CERTIFY that I will rc~ister at my locat address. when the registration books reopen, and
comply with all other requirements ot a legat resident of this State.
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; I FURTHER CERTIFY that I}~ave no intention to return to my forn~er domicile, and I intend to remain in
~ f~o ~-r- ~T ~i v L~ ~ ~ S* . Lucie , County,
~ Florida, permanently. (c~~r~ . C ~y ; ~ e ~ c 7 ~
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; S~qort~- subse~l~c~d ~prc me this ~ day of - f+
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' :';.v~~!/, A.D. 19 73 .
- lfa?~~1't~.,~~'~, CLERK CIRCUIT COURT ' . s;
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eputy e •
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° (Tu be exen~Icd io ~.Ii.r~c anJ uri~:u~.:l ~I J~~i~h t'Irtk Circait Courl. and Juplicale wilh Tax Assexsot) ~ ~
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