HomeMy WebLinkAbout1714 d.1~~;:~:rc~i c:~~~t~ii 0 l~! ~ril ~ 1~4r~~ Ca~ 4u v~ ~rc,vi
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TO TNE CLtiH1C Ob' THE CIIZCUIT COUItT. ;
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ST . L UC 1 E CpUNTy, FLORIDA: .
This i~ my dccleration ot 1)omicile and Citizcnship in the Stnte ot Florida that I am fJing this day in ~eeordenco. and in .
euntormily with Section 222.1T. Florid~ $tatutes. ~ '
1 wu torm~rl a leg~1 re~idcnt of ~ ~ ~ ~ - ~
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residcd at ~Q ~ S '~'J ~~f ~ . I~owevor. I hav~ changed my domicilc to.
- (Stn~t and NumDer) .
and am a~d havc bcen ~ bona Gdc resident oi thc Slatc of Florida since r~ deY o[
/C~b/('4 r~ iP~/ ,19~~, and I reside at ~ u7 ~?b D Ne w yOIQ/Y ~ O/' ~
Stroet ud NumDer) .
N P?'7'./e,! J~l N~l ~ ST . LUC I E _ Cou~ty, Florids,
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and this statemenl is to be taken as tay declaration of citizenship, actual legal resldence and domieile in the Stnte oi Florida.
•IF FOR TNE PURPOSE Of ENROLLiNC I-~' FOR NOHESTEAO PURPOSES~
CHILDREN IN SCt~00L~ PIEASE STATE PI.EASE CHECK: ~
THEIR NAMES:
L' ~N~
- FILEO AN9 kECaR0E0
aT. ~uci~ couHTY.f~.~. #
ROCf:~ rv~TRAS
CLE~f C!=.;,iftT COI~RT . i
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' I FURTIIGR CF;RTIFY that I~~~il! ref;ister at my iocal address w•6en the rcE;istr..lion bovks rcopcn, and con2ply ~vitli all ' ~
I ~~t}~cr r~quircmcr~t~ ot a IcZ;al rcsid~~at of tl~is State. '
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I I FURTJiI:;{ CERTIF~' that I havc no i^Lrntian la r<rturn to my formr.r don~icilc, xnd I intcnd lo rrmr.in in ti
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