HomeMy WebLinkAbout2549 [:~c~~r~~ic~~ o~ €~a~~ci~~ ~iti~~:~~~~~
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~l u'{'1~1~. S'I~,1T{: A`U C'UUN~~Y '1'AX AtiS1:SSOft, f
ST. ~1~UG7;: . `
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'il~is is my dcclaration of Domirilc aixl Citi~ci~ship in thc Statc ot Florid:~ thal [ am tilin~ this day in ~ ~
a~•cc~rclancc, and in conforu~ity witt~ Scction ''2'.17, 1'larida Slatutrs.
I was formcrl~--klrgal r~sidcnt ol' _ --and I
(cit~ ( , -
~~•si~trd at ~.1~'~---~"'-__ Howcvcr, 1 havc cha~igcd my domi~ilc to
..r (Strret and Numbcr) • ~ ~
,u~d am and h.~~•c hc~en a tx~na tidc rosiclent of ihc Statc of Florida since day of *
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, 19~~, and 1 r.~sid~ at ~ '~'-`'z
` ` - ~ (St~t and Number)
=i~~'.}A~' _ _~~CL~.¢~----- St. Lucie ^ County, Flurida, ;
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::nd tl~is st:tt~ ment is to tx ta~en as m~~ decl~~ration of citi•r.r.nsl~ip, actual legal residence and domicile in the Stat~
;•.f Floricl,i. -
(In.crtt herr ao>' prr~~ncnt Lxt~, wch a~ srle oi prupr~tX or busincss, nr rclinquishment of employment at tormer
domi.ilc, rcmo~'al o! fa~nify to nca~ domicilr, purcf~au of home, ctc J
.T,.~. . -,-r T • • NO~~STEAD EXErIPTIUti : ~
h., :!,kl~.~ C}! ,.LD:t~.t. ITd SCHOOI.. ~ .
Tf enteri.ng c~ildren in schcol, ~
pLease 1 ist ~heix names : ~,9~t~2 Jr
~dov C~irn.D .
FILED ANO RECORpEO
'l SL LUCIE COUMTY F~A. \
1 ~`~~5~ CIERKGER Pp~TRAS
y • RECORO YE F Ea
COU~i
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1 FURTHt:R CERTII~Y that 1~vi11 r~~*ister at my local ~ddress whrn the re~istration books rcopen, and
cc~mt~ly with all other req!iircments of a le~al Ycsident of ihis Statc.
1 T'UR1'HCR C~:RTIFY that 1 i~a~~c no intcntioiz to mh~rn to my forn~cr domicilc, and 1 intcnd to rcmain in
~~k ~ J _ ST. ~.UCI~ _ Count
`-~1-v`= C~-}- - - - . Y, .
I~iorida. pcrmanrnily. cc~~~r~ .
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I:~.~i-~i~r~o;~in~s~ib~cribrd l~ci'ore m~ this day of
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..,.,r, ~ 74 ~ C~hOv~c~~UJ
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A.D. 1N------- . i_ ing ~ c.res
--'@fi`!Yh--
ROGrR PGI'TltAS, CI~I:P.I: CI;tCUT: COURT Q~. rlorida ~
uy ~~,,~~a~~~
De~uty Clerk , .
(TO bc c•.rc at. d i:~ J~p:i, a!. :..:5 nri~•~r..ii filyd wi~L l'Irrk Circuil C~~url. and duplicatc with 'faa Atll•SSIH~
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