HomeMy WebLinkAbout1279 Q~'C~~:i~~~lt.`~"i C: !
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'f0 TI Il~ STATti /tNl) cc~uh-r~~ ~rnx nss~~ss~iz, 2~3'75$
^ St.Lucie _ __~OUN"i'Y, FLUittt~A:
'il~is is my dcclar.~tic~n of Uut?~icile atul Citiic~~shi~~ in thr Statc c>1' 1=lorid:, Ihat 1 am liling tl~is Jay in
:~ccordancc, ai~d i~t confor?»ily ~vitli Srction ~?~.17, }~Icarida Statutcs.
I was fotmcrly a (rgal residri~t of ~ ' ~ : n
~ . - , and I
~ , ((:ityj` (Statr)
resided at " ~ % ~ _ ~ , ~ _ . Ho~~~cvcr, 1 havc cha~~grd my domicite to
(Street and Nurnbcr)
and am and have becn a bona fide re~idcnt vf the St:ite of t~toiida si~~ce 2,~~~ day oi~
now - _
' , 19_._.'=-, and 1 /~rside at J~ T - _ _
(Strret and Num~er)
. , _
St . Lucie
- - , County~, Fiorida,
' (citr) -
and this statement is to be t.~ken as my declaration of citiLenship, actua) lcgal residenca and clomicile in the State
of Florida. ' -
(Inseri here any prrtinent facls, wch as sale of proprrty or businrsc, ur reiinquishnient of emptoyment ai former
domicile. remoYa! of family to oew domicile, purchase of home, rtc_)
Entering children in school:~ Homestead Exem tion: ~
P
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2'73'7S8 -
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FtLEO hhC PECOROED
' ST:IUCiE COUNTY F~A. _
ROCi ~ • ~1~TRAS ~ .
CLEaK C:nt;L'iT :OURT
Rf.Cf R~ lErt:,~t?M~._.
FEa I ! k6 PN'7~
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` 1 FURTHEIt Cf:R'I'Ii=Y that I will register at my iocal address ~vhen the registration books rcopen, and
comply with all other requirements of a lc~ai rcsident of this St;~te.
;
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I FURTHER CCR~'IFY that 1 li:~ve no Entention to return to my former domicile, and 1 intencl to remain in
~ ~ , ; - St. Lucie
_ _ ~ - , ~.'OU11t)',
F.Idricla,.liern~arYeiitly. (r~~r>
; ~ ~ ~ ~ ' ~
. ~
; = Signature (husband)
: . ; . ~
s • ' - i ~ ~/k.~-~ ` ~
. ~ Signature wife~
~ ~ ; ~ - •
t . _ I , 4` .
Sworn t~;ir~d'`subscribrd h~furr m~ thi~ Jay of ~l 1t~~ a ress
, _
"f-` A.~. 1 ~_]4
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ROGER POI'TRAS, CLERK CIRCUIT COURT
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D~~~ti~y-CI er.k -
(To (N rxccutrd in du~,In.Jr .~ud o~~~ ~n ~1 !d.~~l ~.~Ih ~ Irrt ('it~uit l'nur1.:~~~J ~Inphr.~tc r.~th la~ Asuc~~.~)
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