HomeMy WebLinkAbout0926 Declaration of Damicile and Citizenship
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' ~p•~518
TO TNE CLERK OF THE CIACUIT COURT.
ST. lUC i E ~puNTy. ~t,p~IDA:
Tbia is my deeluation ot Domic~7e and Citizenship in the State oi Florida that I ani ~ng this da~r ia aocordaace. and ia
eoaformity with Sectioa 222.17. I~'lorida St,atutea. ~ '
1 ~ras tormerl a legal nsident o[ +u?d I '
(Gtitr) (Stata) '
resided at However. I have elunged my domieile to
(8tn~t sad Nmsb~r) •
and am and hxve been a boaa Cde resident ot t1~e StaLe of Fbrida since da7 ~
3~e_ / ,19 and I reside at ~l ~~EJe~/~/1~~[ ~
e. ~ r~ Je, _
ft . /J ' . ,su.«.oaNu~+e.~,
/~f ~ ~ ST. LUG I E County. Florida,
cae,1
and this statemeat is to be taken as m~? declaratioa oE atizenship. actual legal reaidonce aad domicile in the State of Florid~.
If FOR THE PURPOSE OP ENROLl1NG IF FOR HONESTEAD PURPOSES~ ~
CHILOREN IN SCHOOI~ PIEASE STATE PLEASE CHECK:
THEIR NANES. '
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F{LEU.1•N~ aEC~R0E0
St.IUCi~ CAUNjY FLA. (
ROG: ' ; ~~TRAS 6
~L~R~ ;:,;;LiT COURT ~
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~ I FURTHER CERTIFY that 1 wiU register at my local address when the registration books reopen. snd comply with all ~
~ other requirements of a legal resident ot this State. ~
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~ I FURTHE~ CERTIF'Y that I have no intention W return to my formcr domicile, and I intend to remair. in
; l-,[, ~t C~ ST . U C I E . County. '
~ tcacy~ .
~ Florida. permanenti; .
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j Swor~~ii ~nd subsct, ~^{Qre~me this __L~ day of ~ L~.~. ~
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~ , - t.~~'f A.D.19
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t: RO ~_~P~I~F''l'~AS, CLERK OF C{RCUI T COURT ' ~
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ST. LUCIE COUNTY, FLQRIUA ~
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~ E TY 'LERK
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~ ~ BOOK ~~70 PAGE 9~5
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