HomeMy WebLinkAbout0836 Deciaration of Domicile and Citizenship ~
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TO TNE CI.ERK OF THE CIRCUIT COURT. ~~~~s
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ST . L l1C i E COVN'1'~t. FIARIDA: ~
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This Is my declaration of Domicile aad Citizenship in the State oi Florida that I am filing thi~ day In secordsace, and in ~
eoatormity ~rith Section 222.17. Florida Stdlutes. ,
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1 w~s tormerl a legal resident o[ ~ ~ I k
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resided at ' - - Ho~rever. I{~isve cbaaged my domicile W `
(3tre~e ~nd Numeerl
snd s.m and have been a bona fide resident ot the Slate oi Florida siace ~~~s / day of `
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19~. aad I reside at ~
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_ _ ~ ; " ~ ; , :e _ L ST . L UC I E County. Florida.
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and this statement is to be taken as my declaration of citizenship. aetual legal residenee and domieile in the State oi Florida. ~
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IF FOR THE PURPOSE Of ENROLLING IF FOR NOMESTEAD PURPOSES~
CHILDREN IN SCNOOL~ PLEASE STATE PI.EASE CHECK: ~ •
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THE 1 R NAMES: l-'"~ }
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THIS IS TO ESTABLISN THAT MY OAUGHTER SUSAN ANN MYER
IS I? RESIDENT OF ST. LUCIE COUNTV~ FLORIDA ,
; I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all .
other reguirements of a legal.resident of this State.
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~ I FURTIiE:t CERTIFY thzt I have no intention to return to my former domicile. and I intend to remain in
, ST . L U C 1 E ~ounty,
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us ~"g.vy ~1 ~bed betore me this
k~i to ,~d ~ ~ day oi
. C . A.D.19 75
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~ ROGER~Pdi TRAS, CLERK OF C IRCUI T COURT ~
~ ST. LUCIE COUNTY, F~ORIUA
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~ BY: ,J
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~ eruTY ~.er~K
` • BOOK 2J0 PACE OJ~ '
~ Arn Form 71 ~
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