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~ 306336
TO Ttl~ C1.ERK OF TII~ CIRCUIT COURT.
ST. LUC 1 E COUNTY. FLORIDA: ;
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This is my declaration of Domieilo and Citizcnship in tho Stato ot Florida thet 1 am tiling this dsy in accordanco. and in '
contormity with Section 222.17. Florida Stetutes. ' 'i
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I was formcrl s legnl resiJent oi ~ a K ~ . " and I
iCity) - IState)
residcd at V e However. Y have changed my domicilc to
(Street an~ NumEer) -
and am and havc bcen a bona fide resident of the State of Florida since F~ ~ s T day ot .
,19L, and I reside at 37o S So v rt~ / h c~~a R~ ~ e~- ~ 1- .
(Strest and Number)
~1 e~ c. Q - ST . L UG I E co~pcy. F~oriaa,
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and this statement is to be take~ as my declarntion oi cit'v.enship. actual legat naidence and domicile in the State of Florida.
IF Ft?R TNE PURPOSE OF" ENROLLING IF FOR HOME57EAD PURPOSES~
CHILOREN tN SCHOOL~ PLEAS~E STATE PLEASE CHECK: ~
THEIR NANES:
~~v? D ~ r~~drew -
~I C.~U 1'~0. /4 ~~l FILEO A!1~ kECURUED
ST. LUCI£ ~~UMTY FIA. ~
RGC~~ °O~TRAS l(~
CIEk?( C:=.~~JiT COURT ~ `1 :
oF~f:QC Y~ ~'~Fl :
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A~R ~2 10 os AM'15
GHILDREN ARRIVED APRIL 17~ 1975 ~
3Q6336
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I I'UR1'IIF;It CI~:1:1'IFY that I will reE;i~t~•r xt i:iy locxl addre~s K•hen the rr~,~istratiou bno}:s reo~en, and com~l~• a•ith :+11 ~
cthcr requircmrnts of a lcgal residc•nt of tl:is Stater.
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~ 1 FUItT311:;t Cf•;R1'Ii'~' lh~t I ttavc u~~ intcntion to return to my former domicile, and 1 intcnd to rem:?in i:i
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