HomeMy WebLinkAbout0198 Declaration of Domscile and Citizenship
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TO THE CLERK OF ~HE CIRCUIT COURT.
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ST. LIJC I E CpUNTY~ FLORIDA:
This is my declaration of Domicila aad Citizeaship in the State ot Florids that I am t'tling thia day in aeoordance. and in
eoniormity with Sectioa 222.17. Florida Sti?tutca. '
I wu tormerl a legal resident ot r..~ e,/~/~ and I
(Citrl IStat.!
nsided at ~ . However. I bave changed my docnicile to
(Stn~t aod Numbsrl
and am and heve been a bona fide resjdeat of the State ot Fbrida since ~Y °f
k~~,~ , ~~.s~. ~d ~ ~s;aP ~~~a ~ r~ d
(sinec.aa Numeer)
~7~~ ST . L l1C 1 E County. Florida,
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and this statement is to be taken es my declaration oi citizen~hip. aetual legal re~idenee aad domicile in the State of Floridn.
IF fOR THE PURPOSE OF ENROLLING IP FOR HONESTEA~ PURPOSES~
CHIIOREN•IN SCHOOL~ PLEASE STATE PIEASE CNECKt ~
TNEIR NANES:
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I FURT~iER CERTIFY that I will register at my local address when the registration books reopen, and comply with all j
othcr requirements ot a tegal resident of this State.
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f I FUR~HE~CERTIFY thxt I have no intrntion to return to my fornier domicile, and l intend to remain in
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~ Florida, permanenti;. FILE9 ~k~ RECORDEO
~ ~ ST.IUGE C~UNTY FI.A. ~
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~ ~ ~ . ibed betorc me this ~ 1 day of f /l
Swor~f to and 3~1~
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ROGER P01 TRAS, CLERK OF C I RCU I T COURT
ST. LUCIE COUNTY, FLORiUA
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BY: `~~4~.<_, ~~c~c..~~
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_ EPUTY LERK
PQ01? ~?v0 PAGE 1y8 ACn I~t.tRl T) °Z
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