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i u ~~~t~ srn~rr: ~~u cuur. ~rn~ :~~~i~~~c,it. ' 2'73481
SC.Lucie
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"fl~is is my drelaratic~i~ ut~ 1)c~iniril~ an~l ('itir.cmhi~, in ihr St:~ir of l~ic~riila tliat t am fili~i~; this clay in •
:~cr~~rclanr~:, and in cui~fcynnit~~ ~vith S~•~ ti~?n ",.17. I~lori~!:~ Statutr..
1 was fonncrly a k~~al rrsi~lci~t ol~ ~~_C t~~~ T t.-~~ •--!1-~-~_~~~~~--- and I ~
(c:i~.• i <S~atc)
C~~~.~ ~i~ - Howcvrr, 1 havc chan ~d m do»~icilc to '
rrsiclyd at - - • g' Y
($Itecl anJ Numhrr)
and am and have Ucrn a Uona fidr residrnt of thc State of Florida since ~~Z~ day ot~ '
~ ~ now /f ~/,}~]~r 5~~2~i~D Q ~
~ ~Clil'U.(. ~ ~ 19_~ ~ , ancl 1 ~rrsiclr at Z~~ (Y__~! _!1!
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(SU~eI and Number)
SL. Lucie
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L' ~ C-r . - County, hlorida,
(c~~>~l ,
an~l this statement is ta be takrn as my dcrlaratioi~ of citirrnship, actual lega! rrsiclence and domicile in tlie State
of Florida. ~
(Incert herr any periincnl (acts, ~uch as wle of property or business, or relinquishment of employmenl at former
domicile~ remo~•al of (amily to new domic~le, purcl~au of home, rteJ
~
Entering children in school:~ . Homestead Exemption: ~
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2`7~ 481 ~ 3
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~ FILE~J AM~ ft~COR0E0
St. LU~i: C JUNTY FLA: .
; ~ Ft}•7i." ~iidS
~ CIEFcr, ..:cl;' COURT
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J~ [y IL io PM ?~I f
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~ 1 I~UKTHt:R CI:kT'II~Y th:it I~vill rc~ictrr at my loc.~l address ~vhcn thc rcgistration books ren~~c~z, and
~ cc~m~~ly with all othcr rcquirZmcnts of a Ic,~al nsiclrnt of this State.
~
~ 1 FUR"fflt:R CI:}tTIF~Y that I ha~c nc~ intrntion to rrturn to my formcr domicitc, and 1 intcnd to rcinain in
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C-~~-- ---St . Lucie - C'ounty, :
~ I~lorida, pcnnancntly.
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~worct t~~t~d..1~1~~:,~~{nti~bcfc?r~~ mr thi•; ~ ~ _ ~lay ~f .~Z~~tg a resS -
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2s ROGI:I2 POITIt ~S , CLF:RK C T RCU IT COURT
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(T~~ br r~ctn~c~l in Ji~~~li..~l.• .u~~l ~~i~~vnel fdr~t •.s~ih / Ir~}. ('~rc~nl (<~~nl. auil d~i~+h,.~lc «~Ih 1.~~ A~.r~~ni)
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