HomeMy WebLinkAbout0435 ~~c~~ra~o~n ~fi ~~micit~ a~~d ~~fii~~~~~ip u % ~
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TO TlIE C[.~RK OF' THE CiRCUIT COURT.
ST. LUC I E cpvtv~r~t, F[,OtuDA:
ThIs Is mr dectaratton ot Domicile and Cilizctahip in the Stato oI Florid~ ihAt I am C~ing this day in aceordanee. ~nd in .
eonformity with Scction ~'2.17, Fiorida Stututea. ~ '
I was torm~rl a kgal rcaident of ~~1 ~r' d/i ~ c ('~CJ _ and I
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residcd at = Howevcr. I hsvc cbaaged mr domicile to
(Stnrt ud Num~srl ~
and am and have bcen a bona Gde residcnt o[ lhe State oi ~'lorida si~ce ~ daY a~
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1 i~ L~ L1 . I9 and I reside at I~` ~l v~ u~ -1-
IStreet and Number)
~ ST. LtlGIE
- 'a ~ l r' r ~ _ ~ Couaty. Flo~aa,
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and this statement is to be taken es my declantion oi citizcnship. aetual legal restdencc and domicile in the Ststc ot Florida.
IF' FQR THE PURPOSE OF ENROLLING IP ~OR NOHESTEAD PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PLEASE CHECK:
THEIR NAHES:
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ft~EO AR:; ~ECORQEO
ST.LUC~E „O~NTY FIA. `
Rii~~~?C~~RAS ~
CI.ER1~ ~=~;c:;:: COt1RT
RP~Q~_" Yc(~'f:r:
~ ~ MAY ~ 11 t8 RH'i5
3t~'2'76
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I F111tTiIEIi CF,RTIr'Y that I wi11 register at my loca? addre~s when th~ regist_r~tion books reopen, and comply with all
other requirements ot a ieFal resid••nt ut this State. '
~ I F RT}~ CF:tj~'II'Y that I have nc? intcntion to rcturn to my l~rmcr domicilr., and I intcnd to rcmain in
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