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~iu ~i~i~~. srr~~ri.,:nn c~ou`~i~~ ~r~~~ ,~~si~.s~c,it. 2`~3485
St.Lucie • .
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Tliiti i~ my ilrcl;u~atioi~ uf t)cmii~•ilr an~l ('itircnshi~~ in thr St:~te of l~lc~ri~la tbat~ I am filin~; this ~lay ii~
arcur~la~~c~:, and in cc~ntc~rmit~~ ~vith S~•~ti~~i~ ''~'.I'l. I~lori~!a 5latut~•~. ,
1 was formcrly .i Ir~tal msi~lci~t of : . ' ~ a~td 1
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r~ siJrd at . I lo~vcvrr, 1 havc changed my domicilc to
- (Strect anJ t3un~bi•r)
and am and havc t~ccn a bcin.i fidc resid~ nt of thc State c?f I=lorida sincc day of =
~ now 2 ~j `
~ . 19_ ai~d I /~-csi~lc at ~ ~ _ ~
(Strret snd Numbcr ~
y'~~,~~~ '~y~---. _ Sti. Lucie - County, Florida, ~
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an~l this statcmcnt is to bc takrn a~ my dcclaration of citi-r.cnship, actual lcgal rrsidcncc and domicilc in thc State
of Florida. ~
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(Inserl he~e any pertin~~H facts, such ac sale of property ur husinei~, or relinquishment of employmenl at fonnet $
domicile. temo~al uf (a~nily to ne~v domicile, purchase of ho~ne, ete.) ~
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Entering children in school:~ ~~omes,tead Exemption:
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2'73485
fILEC a?~~ ?EC~ROED ;
ST.IOC:_ GOL'NTY FLA. ~
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~ 1 rU1tTHE:R Ct~ltT'(rl' that t~vill rc~istrr at my local addre~s ~vhcn thc rcgistration books rco~cn, and
~ cam~~ly with all oihcr rcquircmrnts of a le~al rctiiclrnt of this Statc.
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~ 1 rURTEfI:R C[:R'1'Ii=Y that I ha~•c i~c~ intcntion to mturn to my fonnrr ~tomicilc, and 1 intcnd to rcmain in
~
St. Lucie
~ w - - - Cou»tY,
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~ }~lorida, pr~tttin~ntly.
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~ . • . ; • `v' ^ S i ture (hus and )
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' .,r?' ~5 . ~ ~ . ?Sig»ature (wife)
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" ~worn t~i~i~•~uli~Ai12cti bcforr mr thi~; 9 ~lal~ of =
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GP:P. POITI S, CLI:RK CTRCUI"T COURT
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, (T~~ br i•~~•cale~l in dn~,ln.~lr .~r,•1 ~ny~in.A Id~v1 ti~ith 1 I,~,1 ('~~t~nt ('nr~rl. aml dn~,l~. ~tr ~.~II~ 1:~~ A~.rtitin~)
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