HomeMy WebLinkAbout1193 Dec~~ration af DQ~nic~~~ ar~~-i Ci~i:~~r~~1~:ip 2.~3~~0 ~
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"I~O 7'IiL STATE AND COUNTY "fAX ASSt:SSOIt, c
St.Lucie ;
. _ COUNTY, FLORIDA: ~
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'Tliis is my dcclaration of Uomicilc and Citiu:nship in thc Statc of Florida that I am fi{ing this day in ~
accor~lance, and in confarmity with Section 222.17, Florida'Statiites.
I was formerly a Icgal residcnt of ~.`1' l`ll T7 I~1 ~~and l ;
J (Cily) (State) s
resided at ~ f~~- r` T . However, 1 have changed my domicile to :1
(St~eet and Number) +f
1~
and am and have bccn a bona fide resident of the State of Florida since ~/U~J~L 1% day of
~ 11oW s
- , 19~~ and 1 /~reside at l~ ~~S ~ ~ ~ ~ j~
(Slreet and Number) ?
_ ~~~~--~j,~l; ~ , St. Lucie _ Coz~nty, Florida, '
(c~~r)
and this statement is to be taken as my.declaration of citizenship, actual legal residcnce and domicile in the State ~
of Florida. '
(lnsert here any pertinent facts, such u salr of property or ~usiness, or relinquishment of employment at former
domicile, removal ot family to new domicile. purcAax of home, etc.)
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Entering children in school;~ Nomestead Exemption: L~ ~
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2'73f9~}
F,~En Ar,~ ~tco~oEo
ST.IUCti. ~pUNtY FLA.
RQC'c^ r':tTRAS
CLEP.K ~ .~:.;fIT COURT
RECf•R~ VC~-~-~E~~_._,._~
~ 31 I z2 PN'?~I ~
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I FURTHl~R CL-RTIFY that I~vill register at my local address when the registration books rcopen, and
canply with all other rcquirements of a legal resident of this Statc.
I CURTHf:R CERTIFY that 1 have no intention to return to my former domicile, and 1 intend to remain in
~ Jt . Lucie CQ11I~lyy
• Florida, pcrmanently. ~~''Y~ ~ ~
.c1 , . /1 t -
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- ~ ~ ~•la~~ Signature (husband
~ ~ ' - Antonio Rodriquez
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~ ~ _ ~ Signature wife~ ~
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Swi~sr' ~ d~.~yOSCribrd heforr mr fhis day of
i iiig a ress
- A.l~. 19__74- 1~ ~ S ~/r'1~~~~~ ~L~,.
~R POITRAS, CLERK CIRCUIT COURT .
_ :
. - _ _ ~n~.u~ ~
By I)epuL-y Cl erk ~
(To br c~.cWrd in dup(~r.~tr anJ r,r,_•u~.~l /~t~~it a~N~ t'I:~rk (7nc~it ['~~url. un,) Jeiidi~:~lr »db Tae A.«•~,ut)
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