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HomeMy WebLinkAbout1349 . ~i l~cc~~, ~:~:i~r~ of ~~~~nic~z ~ C; ~ ?~:~~E;~ . , ! ! ! !l4~. ~"I :n~i'!~ A\l) ('UUN'TY ~i~AX AStiI:SSUit, ' j ST. _LUCII: ~Ul;\"I'l', 1~ LORiI)A: ' t , '17ii, is my drel;u-;ition of Domicilc and ('itircn.hi~~ in thc Statc of l~lorida th.~t I am filing this day iii z ,~~cunlaiirr, :u~d in cc?ni~ormity ~vitl~ Scrticm ~'_1.17, rluricla Statutrs.. i~ 1 wa; fonncriy a Icgal msiilc~it of ~ ~ . , and ! ; s ~c~~~~~ (sa~r~ - , ~ ,;c~rJ at - . ti~~v~vcr, I havc changcd my domicil~ to (Stra nd Ivun~be~) . ~ ; 1~i~ and h:~vc lxrn a tx~na fidr t~sidrnt of il~c Statc of I~lorid~+ sincc day ot~ ~ ~ 19_7~. and 1 rrsidr at J L-- - - - + ' (Strcet and rlumt~r) ~ ; • St . Lucie _ 'ounty, Florida, s /j„~.~~ _ - - - ~~s `cs~,~ ~ ° :.~~;I ti2is stat~mi~~t is to !w t:ikrn as ~ny dccl:~ration c~f cit~r: mi~ip, artual legal r~sidcncc and domicilc in thc State ~,i i~lurida. ~ i: (Insrti her. any r~t~~~rnt facts, ~urh ac c+h uf i:rnpcrly ur hu~~ucss, or trlinqaisl~m~nt of cmploymcnt at formrr R domi:ilc.resn~+~al ut tamily to nc~~ d~.~~ii:ilr, purct~r+e ~~f hnri~. clc.) ~ _ ~ . ~ HOT-~STEAD EXi.1~iPTIO":: ~ 1~"I'ERI~'G CHII.U:Z'_::: I~I jCNU~L. ~ ` li.. ~ 1 f ~:iterin~ cllildren in school, ~ Pieasc_ ~ist tr?eir nasnES: 0 ~ ffZ ' ~ ~?~rc • ~{IC1E~C~#pIT~~?S~ l'~'~•. Pfi~ ~ 1~ COU~1 ~ Clf!~~ Ct _.G11 ~ R~rOr ~ Vc :,,f :~0 - i. ' IO MS 11~'~'~ - ~ U~ ~ ~ . z~~8o .j ~ 1 I~URTt1t=R Ci:RTl1=1' th:e: 1«~ill r~~ititcr at my local address ~~hcn thc rcgistration books r~opr~i, and ;~~~;i~~ly with ~ill other rey~air~mr~it; oC a Ir~.~al rrsiilrnt of tl~is Statr. - 1 FURTIIEI: CI:R~~Ii=Y Ih:+t l l~a~~c no intcnti~n to return to my fonner domicilc, .sj~d 1 intcnd to rcmain in sT. LtICI~ coi;~,t~,, - - - (C;t,~,--- - - 1=~~~r~~i:~, pertnanrntly~. ~ . /s~zs~~lst_ r~~ ~ a°u2 cr - - - - ~'1'tl R~ ~ e _ - STGi ~ ^ ; ~w<~urit;~4.ai~4~~?~~.h~~~i~T. m:. tl~~ ~ l~- cl-iY of s' ~t~ = o;•, ` : ~ ?4 ~ _ - ~ " _ ~ : - - A.I). 1' i .ng ,c. r ss ' ariy~- ' .~:14!"'."'` ` . . _ . , • r R'.` • - ~ ` ~ ~tCUI C:`L'~tT ~Y~'u` .L~' , ~ c r ~ . _ _ T a t~ ..;~~~r~ L 1)ci»:t~? Clc~r~; £ 11y , ?ti f:. . (Tn bc cctu •J n~ d~~}:li~:,i~- .~u~l n~i~<in~l (~IrJ ~~itl~ L'I:~k ('i~aud ('~~url. a+iJ ~!~~pli<:~le ~~~~~h 7aa Asussix) - 6~GK i'.1~,~ l~ ~ ~R234 i39~ ~ - _ ~~A~ - 3~ ~~~-.Y_, ~ . , : - -~,..r.~~~~~