HomeMy WebLinkAbout0408 Declaration of Domicile and Citizenship
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TO THE CLERK OP' THE CIRCUIT COURT.
ST. LtJC 1 E CpuNTY~ FLORIDA:
TAis is m~r dcclaratlon oi Domtcile aad Citizenahip In !he SUte of Ftorida tb~t I am t'il'~ng thls day In aecordance. and in
contornutr with Section 222.1T. Fbrida Statutes. . , ~
I wu formerl a kgal resident ot ~ ~ I ;
y~ Is~ae.)
n~~ st y~`> /~o _7 ~ . However. I have ehanged my domicile to
(Stre~t and NamDK) ~
~nd ua ~nd luve beea a bona Gde resident of the Slate of Florida since dar °t
. ~ .19~~.. ~nd I restde at ~3„~~n ~5'o u f~i ~ ~ _ ~ o ~ / 9
(Stroet aod NnmbK)
~ ~ E'/' G P ST . L UC 1 E County. F'lorid•.
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aad this atatemeat is to be taken sa my declantion of citizenship. actual kgal reaid nee and doanieile in lhe State of Florida.
IP FOR THE PURPOSE OF ENROLLING IF ~'OR-=NOMESTEAD PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PLEASE CHECKS ~
THE IR NAMES: ~
~L' /le ~/=,_,~.,D~u~/~ D~"
=T. LUCAE ~OtfN1Y FLA.
'~~/'~o~ ~ i/ I~~/'~ ROCE< :0•TRAS I
CtEiik Ci:;;,U~T COURT
RFr-:zr. YE~ ~ t~'~
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- A~r 3 12 2z PM '
I FURTHER CERTIFY that 1 will register at my local address when the registration books reopen, and comply witfi all
other requirements of a legal resident of this State.
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~ I FURTHE~~ERTIFY that I have no intxntion to retern to my former damicile, snd I intend to remain in
~ • c, y' ~ ST . L UC I E County.
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~ Florida, permanenti; .
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~ Swor,n,to and subscribed belore me this ~ day o[
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~1~2t~' . A.D.19 75 ~ _
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ROGER P01 TRAS, CLERK OF C IRCUI T COURT
ST. LUGI COUNTY, FLORIUA
~ BY: ~..tt~ ZooY
EPUTY IERK
~°oo~ 2,~ PacE ~0~
AC(1 Fonn 71 'tl
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