HomeMy WebLinkAbout2661 D~ciaration of Domicile a~nd Citizenship
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TO THE CGERK OF THE CIRCUIT COURT.
ST. Ll1C 1 E CpUI~'i'Y~ FLORIDA:
Tfiis is my declaratioa ot Domicile aad Citiwn~hip In the State oi Fbrid~ that I~m Gling thu dsy In aeeorda~ce. and in
eontormily with Seetioa 222.17. Florida Statutes. ~ '
1 wu tcrmerlY a legal resident of f{ f~ _ ~ F 1~ f~~ C`- and I
lCiy) l8tatd
a~ ~t 5U' . However. I havc changed my domicile to
(Stewt and NumbK)
and am and havc been a bona tide resident of the Sute of Florida since ~ r day of
h
~ t" 5(~ 121. 4~'jc x 5G -
, ~ .19~_. and I reside aL
IStreet aad NnmEstl
~c~r P r C e. , ST . L l1G I E County. Florida,
cat,1
aad this statement is to be taken as my declaration of citiunship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOHESTEAD PURPOSES~
CHILDREN IN SCHOOI~ PIEASE STATE PLEASE CkECKi
T H E 1 R N A H E S: 1----~
FILED dk. RECORUED a
ST. LUCiE GOL'!11Y FLA. ~
R0,"tR PC~TRAS
CIEF:K C'f~CU~T'COURT
REC:!R" v:~i~~ED
M~ 26 3 oa PM'15 ~
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; I FURTHER CERTIFY that I will registec at my local address when the registration books reopen, end comply with all
other requirements of a legal resident of this State.
~ I FURT}iE~ ERTIFY that I have no intention to return to my former domicile. and 1 intend lo remain in
F~ r- i
C C- , ST . L U C 1 E County,
~ (Citr) .
:
e Florida, permanenti; .
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' S~wq`rp tn~~'~?d2~~d before mc this
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~ ' . A.D. 19 7.'~
~ ROGER POITRAS, CLERK OF CIRCUIT COURT
' ST. LIJGIE COUNTY, FLORtUA
5 BY:
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~ BooK 237 PACE 2659
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