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HomeMy WebLinkAbout1790 Dec~~~ation of ~~~~ics?~ ar~d C~ic~zensh~p ~ 30~042 'I~U Ttll: S"T~~T1~ ANI) ('OUN"1~1' 'I~AX ASSI.SSUIt, . ST. ^1.ilCIE----- - - ('UUN7'Y, f~LOltll)A: Tltis is my dcrl:~raticm ot I)c~mirilc an~t Citir.~nsh~p in thr Sl.~t~ of 1=1ori~l:: that 1 am liliii~; this day in . acc~nlancc,.ui~l in conlurmity with Scction ,"'~.1%, l~lorid:~ Ctatut~s. 1 was fonncrly a lcgal rrsidcnt of - ~ t,CP.n cc ~.e~ y`C-c~Y - Eti ~ and I ~ - - - - , (CiIYI (State) , ~ - - ~rsidrd at - - . llowc~-cr. 1 havc changed my domicilc to ~ (Slrrtt and Numbct) an~t am and hav~ bccn a bona fidr residrnt of thc Statc ot l~lorida sincc day oi~ ~~,(._c ,~,L~ , 1 `J-~_L, and 1 resicl~ at _ ; . %c-'`~- . ~ ~ ~ ~ ( rcet and Plumbcr) ~ ~ St. Lucie , ,t ~L - - - County, Florida, - - - - - - - • (cur) and ti:is statcm~nt is to hc l.ikcn as my d~rlaratiun of ritiz~~n~l~ip, actual Irgai rrsidencc and domicilc in thc Statc ot~ l~lc?ric!a. ~ (Incrri hrr~ ~n> prrtinrot facls. such a~ ~~Ie of pruperty ~t Ausiiirss. or relini~uishmrnl of emplu)~ment at former dc~r~icik. rcm~.+al 01 fam~ly lu nc~v JumiiJr, putih:•.a• ~•t humc. et..) E?';'I'i.KI'.~?G C}iILURE:1 I'1 Si.H00I.: HOi~Q:STEA7 EXErfP1'JU'I: ~ If er.tering childretl in school_, ~ please 1 ist the ~r iiac~ies ; 3Q~o4z f~zEO Akc ~~coROE~ - - - sT ~;;c~r : ~uNTr Ft~. 4C,: `;,1%RAS C~ERK ` J11 COURT P~~r~c~. ? ~ c - t~(`~~` ~ ~ 70 ! Zo Py ~ - ~ ~ ~ - , ~ ~ : f ~ i 2 R ? ? ~ 3 5 . ~ . l rUltTlll•:R C I:IZTIFI' th:it I~v~ll rr~itit.r at my loral a~ldrrss when thc rez,istration bookc rcopen, and ~ ro;nply ~~~ith all othcr rcc~!:iremrntc c~f a lc~~al t~.ic;~~~t ot this Sta1c. ~ r 1}~L'RTIII:R Ct:RTIFY that 1 h~i~r nc intenticm to return to m~~ formrrdomicile, and 1 intend to remain in ~ ~ ~r - ST. I.UCIE ` ~ ~"~~f~~ - Co~mty, - - - ~ 1={orid'a,•reimatic?iily• lc ~c' ) ~t . . -x - - ~ ~ ~j~' - ~fe~~.Z_~_ _ ~ ~,t' i~= ~~t~~ _ - :dl~'['tJRE _ . , _ . - - - - - - - - - - ~ = TCiv/~TUR~ - S~~:urii tci~;~ii~~i~3~rib~~c. hefurr n:c thi•; _"2~_ ~la~• of ~ ~ . - t~=~.. J~ a t c_ ~c~_ _ - A.l). _ 7 _ ~~1FtlZtt2~ ~ .IC~S _ KOGI:R -~'H-~fTRAS, Cj_1:I:K CIRC!'T i(::,t)'t'~~ , Florida >i3 ~ ' n- . - })y ~zc-!u~ (~;c~-L ~c Y~ J_aut.} ::l e r~; . ~~i (To b,~ r~rrutrJ ir. u~•~~li, atr :nd ~~rr n•.:l fil.•:1 ~•.iN: tk ('i~~ u~l ('uutt. unJ Jup:~ralr Ni~h Taa Ac~c~wr) - _ !lODK 1 PACF 17p8 ~ ~ ; ; : - - - ~ ~ - ~ ~ ~ ~ _ ax' 7 ~:a ~,>~-ue R ~ . . . ~ ~ ~.~_c~ X'....,_.._e _ Lb.._x ? . . . _ ?e~,`'~"•h~".x_..~~