HomeMy WebLinkAbout0988 D~cE~~~~~a~ of D~c~~~~c;iE~ ar~d ~i~iZ~nsh~p ~
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~I~O "1~11~ S'1 ~1"I'I: ANI) ('UUN7'1' 7 AX ASSl~SSUIt, ;
s•r. ~.vcT~-- c~c~uh r~~, t~~.c~itit~n: ~
"17~is i~ n~~• d~•clarali<~n of Dc?n~icilr a~ul Citirrnshi~, in lhr Statr of I~lorida lhat I am tiling this day in
acr~,r~lai:cc, :i~~cl in cunfurmity ~vith Scctioi~ 2~2.17, I~lorida Statutcs. ~
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I~vas form~rly .i trgal rrsidci~t af ---------~A C~ S 01~---- _ ~ and I ;
(('i!Y) (Slate) }
n~i~ird at LN~~
f SLtZ~ 1~~___ P~~ 3___~,~~€3~Y ~ Howevcr, 1 havc changcd my domicilc to
(Strcrl an NumAr~)
and am and ha~r. hrrn a hon.i fidc rrsidcnt of ihc Statc of I~lorida sincc _ day .of ~
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C_~-- _ _ , 19_ l and 1 residc at . l ~ C' ~ 1v , [2 ~S c L ~ , _ 3
(Street and Number)
r c -----S~ . I.ucie _ Coimty, Florida,
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.:nd this statcmcnt is to bc t:~kcn as my clcrlaration of citircnship, actual h~al residcncc and domicile in thc Statc
uf Flori~la.
(InK~~ hcrc any pcrlinrnt fact~, sud~ at vdr uf propeHy or bwinres, or relini~uiil~ment uf employment at to:mer
dotnirili•. te~n.+c:d ut famil~ tu nr~v dumi:ilr. purrhaac of hun~~, ctc.)
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E";'~CRI;3G C~III_~RE?: III SCHnOL: N~ }iOI~:STL'AD EXL~IP'1'JU?i: aGa
IL er.teritig children in sctiool,
please list thei_r nar-ies:
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FILEO AN~ REcORDED ~J
SL f~UCf E' GOUlitlf FLA. S~ ,
ROCEf~ POITRA$ c~
CIERR CIRCUIT COU~RT~c,v~
RECOAD YERI~tEO \
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' 1 FURTHI:It Cl:RTIFY that I will rrristcr at my local address ~vhri~ thc r.ristration boo{;s rroreu, and
~ romply ~viih al! othcr rec~!iirements ~f a lr~;al resic)cnt af this Stair.
1 I~URTIff:R CI:RTI[=Y that I have no intention t~ return to my f.~n:irrdomicile, and 1 intend to_remain in
~
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('oi~nty,
~ FloriJa, ~~crmanently. tc~~>.~
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~ S~vnr~ to and-sk~lv;~~-i~cd l~rforr n~~~ ri,~. l_I_ ~r
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:~_.J.-~~'~•~ - - _ _ - n. ~ , ~ rf'- t ~ o ~ S ~ ~ r~,S t ~3 v .
_ '-1`•~i .it~~; ~ c aress
~ ~'.~F.?C~~I'£RAS, C] L~:~~ .TRCUIT C(>' ; i: ~
- ~ CRc ~ , Pl_orida
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~ (T~• r~^c t d in Juplicalc anJ uripin.tl fnrJ v:i1L ('i.r{. ('icruit l'unrl. and dupliratr ..i~h Ta~ Asscssot)
~ ~ooK 2~ PacE 98$
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