HomeMy WebLinkAbout2156 . •
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~iu •ri~~: s•i-n•r~, nNU coun~~Y •rnx nssi~sso~i, 2'70260
St.Lucie
- CUUN7'Y, 1~ LON11)A:
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'Il?is is my drelariliun of I)anicilc .ind Citizcnship in thc Statc af rlorid~ lhat 1 am filing this daS~ in `
accoraanc~, and in conformity with Scrtion ?~2.17, Florida Statutcs. ~ , ~
1~vas formcrly a Icg:~l residcnt of ~~v S J O~~~ , ~C
N~~ and 1
3 I~J . L~~,l ~~cc) N C ca-~
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residcd at ( g . Howcvcr, I liavc changcd my domicile to
(Street and Numbrr)
and am and have bccn a bons fidc rrsid~nl of ihe Statc of l~lorida since ' day of
JU1~~ 19~3_, and 1/~csidc at ~~-3 ST~ LuGt $LV~ ~LOT Z-OS~
(St~eet aad Numbct)
R~" P ~ E1~ St . LuC ie County, Florida,
(c~iy) ~
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and tl~is statement is to be taken as my declaration of citizertship, actuat legal residence and domicite in the State
of Florida. ,Q _ ~ , _ J ~ j~
p~ -~°,~.v-~ oz C~ ~n~'~~ `~.+d ~z Yn.~ r~-a~a~~-~
(Inserf he~e any prrti~ent facts, such as sale of prope~ty or business. or refinquishReent of aaploYment at tormer
~d~omicile. ~emoval of lamily to uew domicile. purchasr of home, etc.)
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Entering children in school:~ Homestead Exempt~on: ~ ~
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Rt.~WET~F~tw. „~~'4u .
- ' R06~A ~'OI~i1AS ~
CLERIC Cir~Gpi~ COtillT ~~t ~
RECORD 1r~Rt«EQ
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- - ~c ~I ii sz At!'73 ~
. 2'70260 . ~
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I FURTHER CERTIrY that I~vill register at my local. address when the registration books reopen, and
comply with all otlicr r~quirements of a le~al resident of this State.
,
I FURTIiER CERTIT'Y that I havc no intention to mturn to my former domicile, and I intend to remain in =
' - f
~ St . Lucie -
, County,
~ FJorida, permancnt~y. ~~''y~ ( C h r~ S}: A n~'j ~
. • A C~/I,~ll. "•--'(~-"V4 ,
(Name)
,~~UtT C _ _ 'r
~ CG .
Sdtof~l' ~o ~hd~~~,c~ibcd bcfor~ mc ti~is day ot
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• , : ~ c ~-d1-~-lt:.~-, A. U. 19_ 3 . ~ ~
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- ' G~'~pQ~~'~AS, CLEP.K CIRCUIT. COURT
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- -BY- - c_ _s~,~. ~O~~.iGl +'A~T~i~
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(Tu bc a~rcu~cJ i+ u~~lu ~l.• and un~•~n.~t tif, .~ed~ t'Ir~1. (~~reuit l'~,ur1. ~nJ Ju~~h.a~r s.~th T~~ AtixtiuK) ~
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