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Home My WebLink About1182 . . • • ~ Dc~~a~a~io~~ of ~~n~~~ic:~~~ C ~~~~~~~~€~~~t~~ ~ . t ~ c ~ ~c~ ii: ~Tn-~~~: ,~NU c•ou~•rY •r~x ns~~: ssui~, ~~$~'7 : ~ ST. LUCIF. Cc)i1~1'1', i~LOltl!)A: ~ _ - - : 'rl~is is my dcclar:Niun af uomiciic a~id CiUrcnsi~ip in !hc Statc of ~lorida Ihat 1 atn filing ihis d:ry in , ,,curclancc, :~nd in confunnity with Scction 22?.1.7, Florida Slatutcs. 4~ . ' • ` _ and I ~ I was fornicriy a Icgal_ rc~idcnt of SIA~C~ ~ (City ~ ~.!-low~vcr, I havc changcd domicilc to e r: sidcd at - ~ r ~ (Sircel snd Numbct) /O / (ia~( Ot 1 ~ ;,~,d am anci havc bc~n a bona ~~l~ n:sidcnt of thc Statc ot Clorida since ~ and 1 nnsid4 at ~ o~' ~ - - ~ - v`.~;~~_-- , ~ (Str~rt and Nunibrr) ' ~ . ' S~ . Luc ie _ Cuunty. Florida, - ic~iYi ~ i_~ ,.s~ct this stalement is to be takcn as n~y dcclaratio~~ of citizrns1~ip, actual fegal residcncc and damiciic in tiir St~~?~ ~~t~ 1~IoriJa. . ~ ~ in~r~i herr auy {+°~~~~»nt f~ets, such as sale of proPrrty or business; or ~rlinyuict~ment of empluy+nent at to~met dumicil.:, rrmuYal of fainilY to nc~v dumicite, puahase nf Gur.ie, etc.) ~ # L'7:E:2~",G CHIi.P.REN IN SCHOCL: HOi.~S'fCA~ EX~r'P'PIO*i: L_ - ~ Tf enterin children in school, 1~-"~+""`-'' - ~ ~ pl ease 1 i~t ~heir naries : - - ~ ~p s~r• ~ ST_t1iC+E L0~t1?Z7 FL~ _ _ l~CE~ ~0!1~S ~ Ct~kx ;..::~3li COI~T ~+C~^ Y~R:.F:Ei? ~ : ~ 32 , i E - 29?684'~ , I FURTHER CERT[T'Y that 1 will registcr at my local address whcn the rcgistration books mopcn, and comply witi~ al: otlzer rec~t~ir~me~its of a le~l resideijt of this State. - i I=URTfI~h CF RTIrY that I t~~ve no intention to return to my fornier domicile, and I intcnd to remain in ST . LUC.IE County, - - . ~cyiy~--- t~ toi i~la~~1~:,~~ar~Y~lly. ,.~~~~}~-v~ _~0~~~.?~ . . ;.j_i ~ - • . . `"~~y, ~ Yr~ ~ ~ - t I.~ ~ ~ 1 ~t ~ ~ . . _ _ " ' ' ~S Y ~ . ' - c 7n . ~^t~ ~i+ , ,~~''t~. 1Y ~C ~!V.,,:,~° - J 1liIV~1 t_ V iaW' ~'s~ ` ~ ~ , `%';!k y ~ . .i+ ,j'~.~7 ~ , i~'scribcd brfo?Y mr this ._!U. ~lay of ~,•~.r ••,~~y~r.s~ _ ~s-tr. A.U. 1~?--- -"-;~''ia~inb a r~ss ~ ----_Y - • . :'.QGE ; i'OITRt~~,~CLI;Ri~: CI^Ct'T1' ~'~t~U'~~_ ~ , 1~'lo:.id~ . tly C )~t~uLy C:l.E=r'~ 1(~7~'d ~~ilh !'IcrA Circuil Cnw~. anJ iSUpli:~fe H'illf Ta~ ( Io h: e[ ~ 1~'~J 111 ~IU~I:K:III' JIIII mi~:n+ _ ~ .~,MS~` .s°s'~.~.~g . ~ ~ ~ ~ . ti....a - `.~'r'~',~. ~~y`.a~,~~: ~ , `^.w. ~ _ _ . _ . . ~z~"~ _ .