HomeMy WebLinkAbout0499 Deciaration af Domicile and Citizenship
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TO TIIE CL.ERK OF' TllE CIRCUIT COURT.
ST. LUC 1 E COUNTY, FLORIDA: .
This is my declaration ot Domicile and Citisenship in the State ot Florida that I am filing this day in aceordanee. and in
coatormity with Section 222.17. Ftorida Statute~. ' '
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I wu form___ e rrly e legal reside t of ~ m~- ti2 ~ I
lCicy? lst.al
resided at ' 1 " . However. I have changed my domicile lo
~se~.~a N~me~~ tL
aad am and hsve been a bone fide resident of the State of Florida since ~ day of
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.19 . aad I reside t G '
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J 1 • E~ NYm~~ County~ F~OTIda~
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aad this sLaten~ent is to be takea as my decleration oi citizenship. actusl legal residence and domicile in the State oi Florida.
IP FOR THE PURPOSE OF ENROLIING IF FOR HONESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STATE ~ PLEASE CHECK: ~
THE i R N/INES: ~ ~
~ . 3Q~189 ;
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~ ~ r ,~J~ fILEO kN{~ HECOROEO
ft.ltiC1E i.3UNTY FLA.
RacEri r"~ITRAS
. CLERK 1,:itCU1T COLRT
pEC ;~n vr~~ri~n._„~~
. ~R ~ II 49 AM'T~
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I FURTHER CERTIFY that I will register at my local address when thc reqistration books reopen, and comply with All
i other requirements of s legal resident ot this State. '
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i I FUftTHF CERTIFY that I have no intrntion to return to my former domicile, and I intend to remain in
I ~ t: , s~! ~ ~ $T . L U C I E , County,
~ (Citp?
~ Florida. permanen~i; .
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~ •$worh to~ ana subscribcd bctore mc this `f day of E ic ' f
3 f' l,u~- A.D. l9 / J~
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~ ROGER P01 TRAS, Cl.Ef2K OF C I RCU 1 T COUf2T
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~ ST. LUGIE COUNTY, F~ORivA
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~ BY: l~~_~ C~' c L!~-
~ CPUTY LERK
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DOOK~t7Q PAGE ~~8
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