HomeMy WebLinkAbout2729 Deciaration of Domicile and Ci~iz~nship
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TO TtlE CI,ERK OF THE CIRCUIT COURT. ~
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ST. LIJC i E Covlwrx~ FLORIDA: ~
This ia my decl~r~tion ot Domieile and Citizenship tn the State o[ Fiorida that 1 am Ciling this day ia aecordance. ~nd in ~
eontormity with Section 222.17. Florida Sta~tutes.
I wss tormcrl _ a legal resident of r~-a-i ~ - and I ~
iCK7i iStatsi ,
~s~~ ~s"d_Q- V ~ ~ ~~tr+-~- . However.I have changed my domicilc to
(Stis+t wd NumD~r!
and am and have been a bona Gde resident o[ the State of Florida aince ~ 9~~ dsy o[
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o? ~ .19~~ and I reside at ~ 7U s~~ ~-c~
(3te~e~t aad Numbsr) ;
- ~ _ ST. LUG I E County. Florida. '
(CR7) i
and this statemcnt is to be taken a~ my declaration of citizenship. actual legal residenee and domicile in the State of Florida.
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~F FOR THE PURPOS~ Of ENROLLING IF POR HOMESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PIEASE STATE PLEASE CHECKS ~
7HEIR NAMES:
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~ STtLt,CIE i:UUNTY fLA.
ROCCP, ?~iTRAS
CLE~K :,:P,C!1iT CQURT }
RFr,c,q*: v::~t~~ tED.....,.._.~
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I FURTHER CERTIFY that I will register at my local address when ihe registration books reopen, and comply with all
j other requirements of a legal resident of this State.
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~ I FURTIIE~ CF.RT FY tLat I have. no intention to rnturn to my tormer domicilc, and I inlend to remain in ~
~ ~ AQ_„ Q , S T. L U C 1 E , County, ~
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} (citr) . f
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~ Florida, pcrmanenti;.
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~ Swor~:t~l aA~ :sabscrihed before me this day of ~~'1-~ \ Z41L~r ~ T, . yS U
_ r~ 7 A.D. l9 7~~
~ ROGER P01 TRAS, CIERK OF C IRCUI T COURT
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ST. L UC I E COUNTY, F L.OR i UA
BY:
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;3s PUT LERK ~
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