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Home My WebLink About2900 D~~~~r~~~~n a'~ t3~~nici~~ and Gi~iz~r~~~~ip ~ ' 298121 F . i ( ~ '1 ! f 1: S'(~A'1'1: AhU ('C)UN7'1' '1'AX ASSI~.SSOR, , ' ST. 1.tTCTC ---~•~)UN"I'Y, I~LOltil)A: : ~ 71iis is my drelar:~liun af Damicilc and Citiirns{iip in 1hc Statc of riorida tl~at 1 am filing lhis day in i~ ~ L~ ~~«c,rJa~~cr, and in a~nformity with Section 222.17, f~lorida Statutcs. _ _ and 1 ~ ~ 1 wa~ lonucrly a lr~;:~l T~si~i~t~l of _ _ . - - - ' - (stace) ~ (~~Y) . ~ ~ , ~'~QX ~~-c'E ~QQ__~ . Howcvcr, 1 have cli:?ngecl my domicii~ to • (Strcet anJ Numbrt) . . ? .u,~1 am and have lxcn a bona (idc residcnt of thc Statc of rlorida sincc day of ~ tr ; ~ Fs~2v f~-~-- , 19 and 1 resicic at _ L!-~~.~_ - . (Sttert ~nd NumUcr) ~ . i - _ St . T_ucle County, Florida, x ± (c~~,•~ - t: ,:r,~l this statrmcnt is tobr takeii as my declaratio~i of citizenshi~, ac/ual lr~al residence a~~d domicile in the State - `i - , c>t' I~lurida. ~ (Inuri her. ar~y pr+tinrnt facls, Su~n u~~< <,t ~r.~~~~r or nw~~~.~, or telinyuishmen! of employmcnt al turmer domiciks, rcmv~al uf family t~. ncw domicilZ, purchax uf home, ctc.) , t ?.T ~ • HOl`'~STEAD EX~rIPT1.0`:: ~ . ~ 1::~:T~RI:.G C~IILDR~T~ L, SCti00L. ~ ~ 7 f: entering children in school, _ ple~se list their names: ~ ~ ~ ~ ~ G~~.~,. . _ f~~0 ~~U ~£CORDEO _ fT.IUCIC C~ltMT1l FtA. ROCE- ?.'~„8~S . ,~i ~ CLEF:K v^~ :GUIT COUAT y . P.FCqan YE=~=;EO . O~c 30 i s2 PM'l~I ; ~ 4 i ~ • v ~ ' - 1 FURTHER C.ERTIFY that 1 will rc;~ister at my tocal address when the registration books reopen, and compiy with all othcr req!~ircmcnts c~f a Icgal residcnt o1' this Statc. 1 FURT1iER CER'fIFY that 1 h~n•r. na intcntion to rcturn tn my tormer danicile, and 1 intend to rcmain in _ ' ST. LUCIE County, - ' I~ioriJa pcr~?ianct?tl~~. (c~'~') ~ .i ~•'V\s~ ~ ~ ~ i ' ~ _ . , ~ o : - ~ ~ ' . - - ~-SIGP~A'TITRE ~ --j:y~ 1: , . ~ _ • ~ - ,s ~ . _ Q~7i _ . * - ~ - ~ ~ ~ ~ ~ ~ S IG?3ATU ~~;~:i~~.;:,~:.. - ~d ~ -.4iv4srjT#daitct'i~it~cribcd t~cforc ~~zr this _ ~1•Y ~f .,~a 74 G~ G~,e~.,^,.~ oEY - A.D. 19._.- lll z in~ c,ress RCCEIt P(1ITRAS, CI.E.:K CIKCUIT C:~UI?T ~~s~ d~,..~,~.~-~,_,, Florida li aw~.l~ lDo~c:+~ ~eput~ Cler.k ('fo 1•r etirrolcJ u~ Ju~stiralr and ~.+ivinal I~Ird iil~ Ct.~k t'i~ruit l'ourt. and d~p!ical. Nilh Tya Asscssot) ~ DOOK ~:?c3~t_ flAi:~ j, . . $ ~ ~ r~~~,,.~,~~.-~.w: ~ ~ ~ . . - - ~ - - - _ . ra _ ~ Y 3 _ _ . .