HomeMy WebLinkAbout1453 ~~C~~r~~i~r~ ~fi i~~r~ECil~ ~~~d ~~~i~~~~~i ~
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TO Tlik: CLERK OF TEIE CIRCUIT COURT. a3OL'~0+~~} E
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ST. L UC I E CpUt~'rSt. FLORIDA: ~
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This Is my declaratio~ of Domicile and Ciliunship in tho State ot Florida that I am C~ling thi~ day in deeordence. and ia _
conformity with Section 222.17. Florida Stetutea. . ' ~
I wa~ [orm~rlY a Icgal residcnt o[ n'~'~'n V~~ , N~ and 1 j
• 1 ~7! lStaal ~ i
resided at ~ ~ ~ Q v~' t . Howevcr. I havc changed my domicile to s
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u~d~t umb~rl • . :
aad am and hnvc bcen a bona fidc resident ot the State of Florida ~inee ____~~?~,~,Z1 day oI ~
19J and 1 nside at ~n~ ~-J h`'t
(Ste~ ~nd Nuaiber)
cC,f_ ~ ST. LUC 1 E Couaty, Florida,
ccst,)
and this statement is to be taken u my declt~ration oi citizertship. actual legal residence and domicilc in the State o[ Florida.
IP fOR THE PURPOSE OP ENROLLING IF FOR HOMESTEA~ PURPOSES~
CHILOREN 1~~ SCHOOL~ PLEASE STAYE _PLEASE CHECK; ~
TNEIR NA~1ES:
f!LED Ak~- oEC~A0E0
fT.LtlCti ;~~Mty FtA,
R~~i.= ~v~TRis ~
, CLFf~K COURt
4~'I`.'1t~•~ ~.c_i~i[~1
~r i'1 2 se PH ' lS
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I FURTIIER CF,RTIFY thaL 1 K ili rebi~~ter ~t my local address when the registration books reoprn, and comply witF. all
othcr requiremr.nts of a legat resident of tt~is State. .
' l FURTiiG;~ GGRTIF~'~: t I Lavr no intrntion to rcturn to my (ormec domicite, and I intend !o remain in
j - F'~ ~G~ C~ ~ ~ ST~ U C 1 E , Cou~ly.
` ICityl .
f }'iorida, ~~r~r.ane~:~i;.
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