HomeMy WebLinkAbout1933 Qeci~~~~ti~~~ ot ~o~~icil~ ~~d ~i~i~~n~E~~~.~
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~i~o ~~iii: s~n~ri: nnu c•uun~ r~~ z~,~x nssi:ssc~~i, 304146
ST. LUC1C ~•~»~?v'~'~', t~i c~t;li~n-
Tl~is is my ~lcclarali~n c~f nomicilc and Citiz~~nshis~ in thc Stat~ uf f lorida that 1 am filin~ this clay in
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accanlan~r, and in cunfonnity wilh Scrtion „2.17, florida Stalutcs. ~ .
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1 was f~~rn~rrly lr~;al rrsidcnt c~f _'t~~~~.1-~1~~__-----._ , and I
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r«idrd at . _ . }lawcvcr, 1 havc changcd my domicilc to (
(Strect and NumDrr)
an~i am and havc b~•c•n a huna fide rrsi~lrnt o( thc 5t.~ ~ ~r ri~~~aa sincc day of ~
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C l/~ , 19__ an~1 1 rrsid~ at ~-~~.-'---~~L-~-- ~i
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--~L~ ~----~y-s-- ~="v-~-ti St Lucie- County, Florida,
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;~i~d this statcmcnt is to be takcn as nty d~claration of citircnshiP, actual l~gal residcncc and clamicilc in thc Statc
uf t~lorida. a~
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(In~rri here anY prrlinrnt faets. such a~ w!~ uf prupcrly or bu~inrss. ~,r trlinyuislimcnl d~ rmpluyment at former ~
domicilc. rrmu~a! uf I~ciily lo ~~c~~ dumicil~. purchasc of h~mc, rtc.) ~
EP;TCRI;`IG CHIL~RET: IfJ SCHOOL: H01~~:STEAD EXL•'h1YTIUP:: ~
If entering children in school, ~ i
p~ ease 1 ist their nar~ses :
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EGOROED
ST. LUC~~ ~0'tfMTY f~A. ~~t
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~ 1 H13R7'IIt:R ('EI2T11~Y that I~~-ill rr~islrr at my local address ~~~I:i•ii th~ rr~islration boohs rco~~c;~, an~
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~ com~~ly ~~~ith all other requirrmcn!s of a i~Ft:?I rrsi~i.nt ot this State.
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~ __1 Fl,'RTH!:R ('ERTIFY that ~ lti,i~~,• r~o i~~tr:?tion tc~ rcturn to my formcr doinicile, an~l 1 intcn:l to rcmain in
~ - ~ ST . LL'CIF '
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~ l=lorida, pcnnanrntly. tc•~~>~
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=r- . . . - ~ G-~S1' e-~~_ J--------
' . . ~ • S I ?vr+TURE /
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; ~~vorn t~o an~'sul~s~bcd br`orr mc tl?;~ day of
~ 1r ~f~' f A.U. 1~I__~_~J' _
g~,•_, a~_ irtif; 7C~1< re ss
~ ~~t~u~i~~+$~~~`I'Rf1S, CI.L3CiC ~T ~tCl'IT C(~iIi2T
_ ~ , orici~
=Y~ Bf~ Dep~iLy C; erk ~ .
(Tu bc rxi•.ut.~J m duplira~~• an:l nnF•in.~l filcd ~~ilh ('Irtk ('itcuil Cou•1. and dnpliralr w~~t~ T~x A~scs~ut)
a~237 ~?~1931
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