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f~~rr~.,.~' j tf ~ : ~ . ,1, " 1 f f • ; ~ •~C.~E i.-_ ~ - t .J~ ~ ar .'..r ~ ` • t.~ . ~ `M'.1 . c _>~~.~t'•1 ~i~u ~r~~i: ~ i n~ri: ~.hi~ c~uur. i ~r~~~ :~~~i ~~uii. • _ 2'~33~~~ St . Luc ie • - - ---c_'l~l~N"Il'. I~I i?Itll~~~: 'll~is is u~y clrcl;iration c>1 I)~~micil~ ancl ('iliicn;lii~, in th~• Stat~• c?I' !•Ic,ricla ihat 1:im r,lin~ tti+s clay in acccinlanc~. ai~~ in cc~:;t~urmit~~ wi1{~ Sc:ti~~n ~~~.17. I~lori~l;~ Statutr~. - 1 was formcrl>' a I~•~~;ii rc.i~l~•i~t u1~~NTf~!//~~_~~9RH9//}a~_-- ~~~5~~.~--- .~~ta 1 / (L~~~ ? (s~a~~~ resi~lyd at ~ -_!L4_ . Huti~c~~rr, have cl~aa~gc~l my c',o~s~iril~ to (Str •t ~nd Kn~nDrr) - } and a~n and have hccn a hona fidc rr~idc•nt of ih~ Statc uf l~lorida sincc c~ cia~~ ol~ now .~p -~~G°~iylQ - , t9 _7~__, :ind ~ /i~si~~~ ~t i~_~"d^~' _c~~/~iviv~~c~' . ; :..c. ana i: SL. Lucie ~ ~/PL°~------- Cou~.ty, Florida, (cit. ) t at~d this statement is to br takrn as my dcclaration of citircnship, artual legal n:idence and d~r;~ici1~ in the State of Florida. ~ (Insert he~e any pertinruf fa•Ic, surh as e:de ~~f pn~prrly r.~ hucinr~~, or relinquishrnrnt of em{~luymeni at former domicile, remo~al of (am~ly to new d~.ruic~le, pur~l~ase u( hume, rte.) Entering children in school;~ Eiomestead ~~~mption; ~ 1 l= ' ~ fJtEL ssy: .;FC~~pEa fi fLLfJCs; r ~U~yTr FLA RQ~ : : S t ~ ~ CLfFic~ ' ~ Q=.~~.:~ . ~:~17 ~~c~ ~ I „ ` •L'J~ . `jA~l ~ 35 PN'~~I 2%~~~~~. 1 f=UttTHi:R Cf:ltl~ll~l' that I~~ill rc~~i~tcr a[ n~v Ic~c:~l a~ldrrss «~hrn thc rcgistratiu>> book~. rt.~pe~i, ~ind cont~~ly ~vith all othcr rcyuifeinrnts c?f a lc,~;:l r~.iclrnt c~1 thi~ Statr. 1~~UR7HER CL~.R"I~IfY that I h.~cc nc~ intc~ition to rrturn to my fc~~n~cr domicilr, anc~ 1 i•~tcnd to rc~n:iin irj St. Lucie . 1~~~ - - - a i'ot,~it ~ - - _ - - - ~ l~lur~.l.~, pcnnancntl}•_ ~r~'"~ - - - ~ 4 ccc he~2..~ : ~ ~ - _ _ ~ ^ - ~ ~ --r~ - - - - - ~ s• - gnature (liu~l)c3i1C~~ ~ ; i 1 . r.~: ~ ~ ~~~i.:.~~Qj~~i ~ ~ •~4~ J '•l% ' t" s - - - ~ ~ - - . . - F~= , (S 4= Si~;n~iture (ti*i.fe} : : -3 : a ~ ~ ts S~pin~to an~1 suUr~t~~~bc(urr mr thi•. --'~`S ~I,iy of = L~ '=iili~is; ac~ui_~~ : : : - ~ : ; - __j~_~~• ~ ~u,~ . A. i ~ 74 GT ~,E~c,E . k~~I: . ,~12/'~S , C~~ ItK c T~?c;U IT CnUItT ---1+~~I3='~, - - - - - - - - _ _ ' 13y 1)c~p~t'-, CIeL-~~. (l~~ I~i~ r~•~r~~tr~1 u~ ~l~~~•li..~t<~ ,.•i.l ,:nrin.~l ~i:, •.t~:h t f~-~1. ('irunt (-~~~~~I.:~~s,1 .h~~•h~. ~f~~ ~~~11~ -I'~~ 1»~...~:~1 r~~ r ~'a~{ - ^