HomeMy WebLinkAbout1817 ~3~cE~r~?~i~~ ~~micile and C~~ox~ns~iip %f ~
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~ 3Q8294
TO T~IF CL~RK OF TIIE CIRCUIT COUIiT. ~
ST. LUC i E (;pUNTy, FLORIDA:
This is wr dcclantion ot Domicilo and Citizcrubip in tAe Slate oi Fiorida that I am C~li~g this day jn aeeordsnce. ar~d in .
eon(ormity with Section 2~.17. Florida Statutcs. ' ~
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I was torm~rly a legal residcnt oi ~ I~~~ ac~d I
l r! Istat•)
resided at r,~ ~ 0~.1 A/ - Howevcr, I have changed mr domicile to
ISteret and N~mAer) I • .
aad am and h~ve bcea a bona Gde rnsident o[ the State o[ f'lorida since I/ O day of
R C~ ,19~ ~ and I nside at C p U/V Z 2~ ~/9 R K~/ H Y_
($treet and NumDsr)
~ r p 1~~~ ~ ~L Iq ST . L t1C I E County. Florida,
(at~)
and tt~is statement is to De taken as my declaration of eitiaenship. actuat legat tesidence a~d domicile in the State oi Florida.
IF FOR THE PURPOSE OP EHROLLING IP i'OR HOHESTEAD PURPOSES~
CHiIDREN !N SCHOOL~ PLEASE STATE PLEASE CHECK:
THEIR NANES:
ST LUC+~F COUNTY F~A.
Rui,cn PyIT~~$ 1
CLERK ^CUiT COt1RT h
?E~~o~
. _ ~ Mar 19 10 0~, pH '~S
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- 3Q8294
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I FUItTIIEl~ CERTIFY that I wili register at my loca! address when lhe registration books reopen, and cor.t,nly ~vith all
i other requirenu•nts o! a ic~al residrnt o[ thi+ : tale.
I
~ l FURTjiI~:t~
I:RTji'Y Lh. t I have nu intention to return to m~• farmcr domiciir, and 1 inlcnd to rcmain in
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