HomeMy WebLinkAbout1022 Dectaration of Domiciie and Citizenship ~
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TO TNE CLERK OF THE CIRCi~IT COURT. 3~O
ST. LUC 1 E CpUNTY, FI,ORIDA:
This b my declaration oi Domicile and Citizenahip in the State oi Florida that I am filing this dsy in accordaaee. and in
coniormity with Sectioa 222.1?. Florida St~?tutes. '
I was tormerl a legal resideat ot 11 ~,d°~ and I
~ r~ ts~.a~ :
~t 6 / - ~ ~ t< < . How?evar. I havs changed my domicile to . :
(8trost ~ad Nump.rl ' ~ '
aad am and have been a bona fide resideat of the State of Florlda aince ~ y ~y ~t
!'c`_' ~ ,19~a and I reside at S~' u h/ SO ~ A~ e ~
l8te~e~t and Nnm~rl
~d,~f- S~. ~~i c ~ e ST. Ll1C 1 E County. Florida.
((att~)
and this statement is to 6e taken u my declaration oi eitiunship. actual legal nsidence and domicile in the State ot Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEA~ PURPOSES~
CHiLDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: ~
tHE1R NAMESL
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I~, c e f /~ofo ~~do
FiLEO AK~ e~ECURDEO
L' " ST. LUCi~ CUUNTY FLA.
ROtiER FGITRAS `C'
CIENK C?RCG1T COURT ~ ~
RF.C~RD ~'Ec'.:FIE~
~ - a~ jo ii 35 a~ ~75
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I FURTHER CERTIFY that I wilt re 'ster at m local address when the registration books reopen. and comply with all ~
i ~ y ~
~ other requirements ot a legal resident of this State. ;
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€ I FU THE~ CE hat I have no int,ention to return to my former domicile. and I intend to remain in
~ ~~n~~ Lt ('lP ~ ST . L UC I E County.
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Florida. permanemi; . ~
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_ l 1 3 /Y ti h iso ~-r ~ v~
~t~'~ri.~:iN~~ (Address)
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~ Sworn`to and subscribed beforo me this ~ dsy of /"o ~ 1~. L~'! C/~°- i'/
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ROGER 01 TRAS, CLCRK OF C IRCUI T COURT ~
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ST. LUGIE COUNTY, FLORIUA
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BY. ~ L r ; ~ .~T~,~,
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- PU7 LERK
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~ , ~WJiI~-VV !1W[1021 ~
~ ACfI Forin 71 ?`3
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