HomeMy WebLinkAbout1418 I~~C~~r~~~~~ ~fi ~ar~icit~: an~1 ~:E~a~~~-~~~~~p
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T01 IlE CL~RK OF TFIE CIBCUlT COU1tT. 3~~pcQ
Wv~7
ST. LUC 1 E COUNTY, FLORIDA:
This is my decl~rntion ot Domicilc and Citizcnship in thc Stuto of I~'lor~la thet I~m C~ling thi~ dey in accordence, and in
eontormity with Section 2~.17~ Florida Statutes. ~
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I wss lormerl A Iegal resident o[ rP. i. ~~D.Cf . L/Q' 12? ~~anJ I
/ (City1 (suce)
resided at ~ f C L~~L° ~ LJ ~ . However. I have changed my domicite to
(Strtet andNuoaber) • ~
and am and have bcc~ a bona Cdc resident o[ the State oI Florida since ~ dny of ,
~ ,19~, and 1 reside st _,~L~ LS~
~ r ~n e s
(S t and Numperl
. ~ ~ L ~ ~ ~ ~ S7 . L UC I E County, Florida,
tc~t~1
and this statement is to be taken ss my declnration of citizenship. actual legal residence and domicile in tfie State of Floride.
IF' F'OR 7HE PURPOSE Of ENROLtING IF F'OR MOMESTEAD PURPC~SCS~
CNIIOREN IN SCHOOI~ PLEwSE STATE PLEASE CHECK: ~ ~
TFIE IR NAMES:
C~ ~lei.~ n ~ ~ c~l'~/f
2 G e~
1.~v~ P, C~~.,~{~ r, c~,q//~C ~
- - c~~EO +N~~ ~:E~uROED
ST.IUCfE i.4JNTY FLA.
P,OGF= rv1iRAS
• - ~ Cl ERK ~ ZCI:!T COURT
p~r~p'~ y::,r~Ei.
~ ArR i~l 3. os PH '75
305869
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I FUl;TI1GR Ci•:Ri'IN'~' that I v~il! reF;i~tcr at my I~~cal address ~•hcn thc rc~-ist.rxti~n bcr~4:s rcop~n, and com;~l~• with a~l
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o'hcr rcqt:ircrt:ents of a Ir~;ai resi~ent ot tl~iti Statc.
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` I FUIt"TIIG:t C~:1{7'II'Y thzt I ha~~c no intt•nlic~n to return to my [~~rr:~~•r t:A1211fiIC, and 1 ir.lcnd to r~maiu in
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