HomeMy WebLinkAbout0769 ~ s • ~ _ • ~ f • ~
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7 U ~~I11~ S I~A"l~l: ANI) ('OUN71' "I~AX .1~SI Sti( ~It,
St Lucie ~
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71iis is nty clrclaration ~~f I)c~mirilc an~l ('iti:cnshi~, in th~ Stalr of I~loiicla tl~at I am filin~; this ~lay in ,
accurclancr, ai~d in cc?i~formity with Srcti~~n ,,,.17. t~lori~la Sl~itutc~.
1 was fori»crly a lrg:~l rctii~i~•nt ~l~ _~~p~11_~1Q --~~.1~11f~ !~'~A1~.A -:ind 1
(Cih•) (sl~tc)
rrsiclyd at pv~_~ 1~:.~ _7~ HoH~c~~rr, 1 havc cha~~gc~l my domicilc to .
(Strecl and ?~umbrr) '
an~l am and have brcn a bona fidr residrnt of thc St~te of Florida sincc L1~ day ot'
now c~ /
- - :~nd 1 /residc ac _ ~ ~..._>Y~/~r~!---
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~ - s ~ . y, r~orida,
~ _ Lucie Count
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a~~~i this statcment is to be takrn as my declaration of citiz~ nship, actual lrgal resiclence and domicile in the State
of ~lorida. ~
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(Inserl here any perlincut tacts, wch :~s cale of pruperly er buciness, or relinquishment ot employmenl at (ormer
domicile, remoral of (amily to ne~~ domir~le, purcl~ast of hoine, etc.)
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Eni:ering child~en in school;~ 1lomestead Exemption:~
2'73488 ~ ~
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FILEQ A!~~} ~~COROED ~
ST.IUCI_ . ~UNTT FLA. '
" ROcE ~ ~ ~~1aeS .
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CIERK ' ~Ut1 C4URT `
P.rG;?R[~ JE~ `1~0....~..~-~
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~ 1 FURTHER CI:RTIFY that 1 will rc~istrr at my l~cal address «~hcn the rcgistration books rcopcn, and ~
A cotttply with all othcr rcquimmcnts of a Ic,~al resiclcnt of this Statc.
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~ 1 1=UR L'•R C:RT(FY that 1 ha~c no intrnlion to rcturn to my formcr domicilc, an~l 1 intcnd to rcmain in
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~ ~~c~.~1 - ~ ---St . Luc ie . County,
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~ Florida, ~~crmancntly_
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_ ~ ~ . " S ignature ( lusUanci ) `
; .,y ~ ~c~''. ~ ' HORAC 1 O BAHAMON '
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~ S~vorn'to •^~~i.~Ctibcd hrfc?rr mc ~Lis z 9.~I:il' vf
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- - - - - . A. I). 1') 74 _ .
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