HomeMy WebLinkAbout2330 Q~c~~rati~~ of Dor~~c~~e ~r~d Citi~~n~~:;~
i u~~ ~ t~: s~rn~~~: n~~u c'UUN7'Y "I~AX /1SSl SSO!t. Z'76546
sT. _LUCIr:- - - - ~'ouN~r~~, ri_c~itinn:
"This is my drrlaratiun ot~ Uc~micil~ and Citiz~nship in t!u Statc af I~lorid:i thal l am filing tliis d:~y in
:~r«~nlancr~, and in confurmity ~vith Srcticm ,".17, f~lariii~i Statut~•s.
1~~~as fonnrrly a Icgat residc~~t of ~~t[l1-- ~
; /'l1a - and I
n l~ ~~Y) (State)
r~;ieled al - _ . However, t have changed my domicilr to
(Strert and Numbrr)
.md am and havc br~n a bona fidc residrnt of thc Statc of l~lorida sincc _ ~-s'f day ot~
~1~~~ I959 ~xx dnd t resid~ at ~..L~7 •~.1i pJ~~d ~
~ ~ (Street and Numbe~) . :
_ Y. County, Flarida, ~ ~
(c~rr)
a~~d this statement is to be taken as my cleclaration of citizenship, actual legal residence and domicile in the State
of Florida.
i
(Inseri hrre anY Drrtinrnt facts, such as sale of property or businrss, or relinyuishment oi rmployment at forme~ ~
domicile, remo~~al uf fam~iy to new dumicilr, purchasr of home, etc.)
~ HOMESTEAD XEr1PTI0N. ~
ENT~RING CHILDREt1 IN SCHOOL: •
If entering children in school, _
fx~~t r - - ..;DEi~
please list their names: 5; .~~k~z ~L+~. ~,4~
a~: ~ jas `
~•r::. . : ~:;L'RT ~ ~
.
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MAR IC i~ syAn'1~
~
2'76546 ~
~ THE PURPQSE OF THIS DOMICII.~ IS 'r0 ESTABLISH THAT r1Y DAUGHTER
t~tARY A`: ~'ETTE HANLO'v, who resides with me is, and has been a
,
resident of this County since September, 1959.
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1 FURTHI:R CERTIFY that 1 will re~istcr at my local address whcn the registration Uooks rcopen, and
comply with all othcr rcqtiiremcnts of a lcgat residcnt of tl~is St,~te.
1 FURTHER CI:RTI(=Y that ! have no intention to return to my fornier domiciie, and I inteltd to rcmain in
i ~ , ST. LUCIE ' ~ , County,
Tl~rida, permancntly <<~'"'~ ; ;
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_ . Ge rge ianlon ;
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S~vos~i to'and`su~cr~i~~f befom mc this dal~ of
- - - - , ~ ~ e g.~•`~ti
~ - - . A.1). 19 _ 74
~ - ' i it~g r ress -
P,OCER POITRAS, CLERK CIRCUIT COURT Florida
,
Ay ~ ~ neput}? C]_erl;
(7~~ hr r i•cutcJ in Ju~~h~ rlr .~rtJ ~~~it:ir+.e! (d~ d t+.ilh /'Irrl: ('~tcuil ('outl. anJ JupGra~c ~v~th lax Asua~or)
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