HomeMy WebLinkAbout1865 E~~c~~~~ti~n of Qo~~~~~e ~~~~~~r~~r~~~
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ST. LUCIE _ rOUNTY, FLORIDA: ~
This is nty dcclaralion uf Domicilc and Citizenship in thc Statc of Florida that I am ~ling this day in ~t
ar
~::.o:dancc, snd tn cunformtty ~vith ~~~tic.,n i 7, Ti~rid:i Statutes. -
I was f~ii~~~rly a lcgu! r:~:~.. t of ~v
•Sr~''u ,/VI~SS_ and I ~
lc~ir) (sisa) ~
resided at W enl µ A/?'1 S T Ts?.,~ A~ c~~~ a~,~/ . Howevcr, 1 have changed my domicile to `
t.~.LttLt 3R~ N!!!!`M?~ Tr
and am and have bec;n a bona fide resident of the State of Florida since ~ day of =
T.~ e 19~~ and 1 reside at .i' 3~ C~~ S 7~j T ~o T 6~J T~, ~9 PLO F_d,~.~.a,c',E-
' (Stteet aad Number)
~R T- ~ ~ ~ ~ ~ u c ~ E- County, Florisia, ~
(c5ir) • -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insett Aere any pertinent fxts, such u sale ot propertr or business, or telinquisAme~t of empioyment at former
dania7e, remoral o fsmily to new domicile, purc`~se of home, etc.)
ENTERING CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: a
If entering children in school, .
please list their na~es:
~Y ~fr~,cl~ /~1 cCri?R TN ~'r?. .
?`~1~~~~ -
ffLED .:y? 4~~^vRucD
ST. lUCl~ ~ ;~,y;r FLA.
ROLEr;
- Fr~ LERK c,::=U,~ URT
~ JIT " ~
_ ..C~t~ ~.:;~0
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Jui !1 f2 2? pH ~l
' I FURTHER CERTIFY that I wiq register at my local address when the registration books reopen, and
comply with all other requirements ef a legal resident of this State.
~ I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in y~
~
~ ~oi~T ~ _ ST. LUCIE 'County,
, c- c e
Florida, permanently. (~''r) ;
, ~7 ~ ~
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~ 'i-~ •i~ . r'~G~i ~
~ Swotn to_~nd sub~o~b~~efore me this ~ day of
- . ~ ; ~ . ~ 3ao~ S ) s;
~ Lv T'd.d~ T.~i~S P t~ ,-=R/t `
_ u' : . A.D. 19~-- "
: ~
~ - /~/~TTD~. 1~J" ~ ~2c ~ , Florida
R ~ - f 1ai111-L]lLl~1--
- ~ ' ~ti•.}
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By ~ ' Deputy Clerk
soaK 2~9 ~A~E 1~~5
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