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HomeMy WebLinkAbout0880 i C~ec~~rat~an af t~~~i ;t;~ a~zc~ ~~tizcc~ship . / ~ , 30 ~ ~o iii: s-i~n~~~i: nnu ~~uvn~i~~ 1 nx n~s~ s~c~it, 3~38y ST. LUCTF.- - - ('Ol~N"1'Y,l~1c~R!!)A: 'll~is is my d~•ria~,ition c?f Uomirilr :ui~f C'itizrn~hi~~ in thr Sta:c of f~lorida th:it 1 am tiling this day in accoiclanc~•, and in confc~nnity ~vith S~clion ~~2.17, Flc?rida St:~tutcs. , 1 was f~rmrrly x Ir~;al r~tiidcnt c~f --T----~--------, - and 1 c',ly) (state) rrsid~•~I at . Howevcr, 1 havc. changcd my domicilc to (Strcct an umh~r) and am and havc hrcn a b na idc residcnl of thc Statc of Florida since day ot~ a7 / ~ - - - - - , I 9_ ~ , and 1 rrsidc ai - .1L. - ~ (Strert and Number) ` ~ St. Lucie - -!t.-~-~~~------- • - County, t-lorida, (c~tr) and this statcmrn; is to bc t.;kcn as my dretaration of citi-r.rnshi~~, actuai Irgal residcncc and domicil~ in thc Staie ~~f i=loricla. (Incer~ Lr~e ~.~u~~.•„i r:,~~~. ~urh ac s:de of pruprrty or bucine.s, ur tehnyuisl~m~nt c~f empla)'ment at furmer domicilr, rrmu~~l ~~f f:,mi!~• tu ne~c duntiicil:. purchau ut homr, etc-) L•'*.TLRT;~1G CNILt~REi: i': SCHC~CL: 1?Oi~~:STEAD EYI:TIPTIU`:: ~ If ente-r.i7g chi3:3rei~ in school, please list the~r nar~es: ° ~ J FiLf.D A1iU ~tf Ct~itII~Ei " ST.IUC~E COtIMT~ ~II~- *Q' " - flOCEM1 ~'!T~S ~ CIEAK C~~:GU~T CLiiR~ R~COR~3 YE~iftE9~' M~ ~3 ~0 ~ ~!'15 ~ ~ ~ _ , ~ - ~ ; 3U3389 s ~ 9 4 # ~ i ~ ~ :s S S ~ ~ 1 I~UK"17}i=R (~1~ItTiFi' th:?t 1~tiill m~~i~tcr .~t :»y 1„~al aciclress when the r~:ristratic~n books rcuren, and ~ ;c~m{~ly ~v;th all ~~tli~r rcc~!iirc~i~.n'.s c~l lr~al resid~~nt oi ll?is Statc_ ~ ~ 1}~Uh1~11{•:K Cl:R~I~IFI' th:~t I L•.i~r n~~ intr;~tiun to r~turn to my fonnrr ~iomicilc, and ( intcnd to rcn~ain in ~ . ~ n ST. I.liCI~ ~ ~ - - - --t= ~~.-L/t~?~-~ - - - - coin,ty, j ~:li il~J, ~)t f1I1:1P.Clll ) (('it> ) _ ~ ra Fu a. _ . _ _ _ - - - - - - -ST~NATORE- F ''''S - _ _ ~ S IG.T~Iti!'L'RE `t~ $~+~~~rn.1o ~txT•~~:hscrihed hrf~.,m ~ttc ihi~ day o~ ~ ~ _ l ~~-t~ 1~--- - - A.!). 19 _.rL - ~~i~~; u _~ss _ _ Rn~.LR' C).r:l:~: CI .~1i7 C~)tIItT ~ I'lor~ c~rt r :_;;5 ~'.•,~~r.... \ ` ~r'1;'l' Cl.ert: ;5 ~ . . (lo bc cai ~ ~cJ in d~~;•I~r.~t~• :~~+J uri; in:~l fdcd v ilh ('Ir~ l('ircuil ('nutl. and Juph: a:c wilh Tax Asscsuir) ~-`3 Q~I( PAGf ~ ~9 : ~ „ ~ : - - " _ ~ ~ ~~r ~ ~ ~ x ~ ~ ~ _ ~ s_ . . _ _ . . ;