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Home My WebLink About1433 - ~ ~`'~i~: t itE~~~ ~~'~ti~i~~V C;i~~~i0 ~~~E~ v~J~ik~~ i ru ~I IIt: ti~1~n~1 ,~hl~ c~c~~?N•r~~ ~r.~~ nss~~ssuii, 2~~?~;:31 , , S'f. ].t1CTL C'OUN~1~1', I~LOItll)A: ~ 7'hi. is my clrrlarati<m c~f l)c?~j~i~ilr an~l Ciliu n~hip ii~ thc Statr ol~ Florida ihat l am lilin~ this day in ~ arrur~lancr. :uid iii ~unfor~nily with Scrtion ~",.17, ~~lorida Staluir~. ~ ~ ~ ~ L~~ 1 w:iti furm~ rl~~ a 1~ ~~:il rc~icirnt of _(r[ _EN _~v.eNi E--- ~ ¢ and 1 _ • - - - (c-~~r) ' (s~a~.~ r.~i~lyd .~t `/'/D S.___~~~'y-- --'~7' N~/------.---- . Howe~•cr, 1 havc changcd my domirilc to _ ...r...~. (SU~•rt anJ Nun~hrt) ,r T _ ,~nd am :~ncl liav~• hccn a bona li~ir rrtiicicnt of ihc Stalr uf I~lori~lu sincc day ot~ ; i ~ ~ , -J/i!VGA~y - , 19_ , and 1 rc.idr at Sd S-- - -/1~o~TiSl ~Z~S`_ S/. _ ~ / (Slreet and Pit~mlxr) ~ Fo~T . ~E.CcE S~. l.ucie County.Florida, . ~c•~~~•) - ~ ;:nd this st:~tcmrni is to hr takrn as my d~rlaratiun ~f citizcnshi~~; artu.~l legal residcncc and domicili: in th~ Statc ~,f 1=torida. ' ! (In~rrt hrrc any ~`crtininl fact~, s:~ch at 1.:~~ of prupert>• ur husinris, ot relinyuishmrnt of rmplo)'ment at former dumicili•. ?c~n~~~al ~~f lamily t~. uc~~ dutnirilc. purrh:~~r uf hi~~ur. rlt.) ~ .r . ,-.,r, .i Hn~-~STEt1U E\'t?.i~iP1'I(i'~:: ~ L•'?I ~ ~lt ~ , , ~ CEIII.LK~.:. L. SC1iQOL: ~ I~ e~,l~erin~ chiJ_aren in school, please li_st tl~eir i~ames: ~ j: ~ ~ ~ ~ FIlEO ~~y~~ ST. t!1C<~ Lu~tNTY FEO R~-_= =.~:TqAS ~A. • p ~lf::~. ~ ~ rrnk~ V~- 'u(r r~tt~ ; ~~N ~s ~o S9 aH ~r~ ~ ~ i 299~1 _ : ~ ~ _ . ~ ~ ~ ~ I FUkl~Hf~R Cl:RT1i~Y th::t 1 will re;,ister at my local addr~ss ~vhen the mgistratic~n bo~ks reo~xn, anii com~~l~~ ~vith all otli~ c req!~ircnx nts c~f Ir~,al rrsiclrnt ~t~ this Statc. f ~ ~ I I~Ult~lit:R ('t:lt'111= tl~al I h:<<~r no int~ntion to rctu~n to m)~ I~ormrr domicilc, :ind I int.n~i to r~iuain in ~ ~ p ST . LUCI~ _ (.~,~~~ty, , fo~ / __/if~r c c.` - _ . - . 1=iunda, {~~rmat~rntl~~. _~c•~~,~~ - - ~ ~ - - - - G~•;ATUR~ ~ er~ ~ ~Gks~ ~ -r'~ - ~ ~~J r;' S IG?3ATU Rr : , . , ~ . ~ s ~•'~V ~ ~ ~ . ~ .'.r'V~~. . .~'~i~ t~~;~c~ sub~c#,t~ig'd~ficfurr mc thi, .__~J_. day ot ~ .L's~ ` ~ ' ~ ~ A.1). 19 _ ( ~ ~ - - - ~k11 ,_~;f~_ ress 'I , • ; , _ : ~ ~!~$,y:; ,Li;i:i: CTltClI1T C~Ui:T - , I'l_oricla ~ _ , ~ - ~ ~ - - C , - ~ - ~ . U~put.y Cl c:r~: . ~ ~ Y . ~ lo hr r utrJ in du~l~;:~•c rnd nri; ~n:~l filr4 ~~it:~ t Irr1. (lrcud ('uurl. anJ d~.~.lir~tc ~~~i/h Tax A.~css~tt) ~ f ~ ~ U~~~~.'~ ~Q~~~'~~ . - ~ ~ ~ - , . .