HomeMy WebLinkAbout0664 Dectaration of Dornicile and Citizenship
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TO THE CLERK OF THE CIRCUIT COURT. ~ 305332
ST . L l1C i E ~pUN~ry, I~`I,pRIDA:
This is my declaration ot Domicile snd CitizensAip in the State of Florida that I am !'iling this dar in aeeordanee. and in
eonformily with Section 222.17. Florida Statutes. '
1 wu formerl a legal resident ot ~-~`J`" ~f ~~'4'''' ~ j-J , ` ~ I
~cur~ ~suco~
resided at . However. I have ehanged my douticile to
~Stre~t and Numbsr)
u~d am and have been a bona rde resident of the State oi Florida aince ~Y ~
~ .19 SE?
. and I reaide at '
1&re~t snd Nnmber)
. ~f ./~',,~,t~'~ ~ S1. LUG 1 E County. Florida.
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and this stutement is to be takea aa my declaration of citiunship. aMud legal resideace and domicile in tbe State of Florida.
IF FOR THE PURPOSE OF ENROILING IF FOR NOMESTEAD PURPOSES~ s
CHILOREN IN SCHOOL~ PIEASE STATE PLEASE CHECKS ~ ~
THEIR NAMES!
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I FURTIiER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
~ I FURTIiE~ CERTIFY that I Fj~ave no intention to return to my former domicile, and I intend to remain in
i ' ~t ~:~t L~ ~ ST . L UC 1 E , Caunty.
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~ Florida, permanemi; .
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r~ _ :l. • Tr '!C•;.~lt•.~.. - (Name) '
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E' ~S~y0ti~1~'i? ~d~ 'f • ~etorc me lhis day oi ~
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~ ROG '"F°`C)tTRAS~ CLERK OF C iRCUI T CO T
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~ ST. LUCIE COUNTY, Fl.OR1UA
~ BY: ~ ~
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~ ~ YY LEl2K
~ ~ ° R 238 663 ~
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