HomeMy WebLinkAbout0417 t~~c~~r~~i~n ~~rr~ecile ~r~d C~$~~~nship
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TO T}iE CL~RK OF THE CIRCUIT COURT. ~
ST. LUC ! E CpUt~7~y~ FI,OKIOA: .
This U my decl~rution o~ Don~icile and Citlscnship i~ tho St~?te of F'torida that I am Ciling this dNr tn aaordaneo, and !n
con(ormity with Section 2~.1T. Ftorida Slatules. . ' ~ ~
I was tormori a lcgal rcaidcnt of LC V 1?T0~1 N i ~ l~s~N ~Rtt. ~pa I
1Cit~1 l5tatel
residcd at LDE?
~ V'T~N v~' ~.A1~1 E~ . liowevcr. I have ehangrd mY domicilc to
(Stre~t and NusuDsr) '
and am ~nd have bccn a bona tidc residcnl oi ihe St~?te of Florida ~ince dsy o[
.19_..._~ and I reside at
. (Street and Number)
' ' ST. L.UC 1 E - County, Ftorida, ~
((St~)
rnd this slatement is to be taken as my declaration oi eitizenship. nctual legal residence ~nd domicile in tho Stute ot Floride, ~
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IF FOR THE PURPOSE Of
E!lROLLtNG IF FOR NOHESTEAD PURPpSES~ ~
CHILDREN IN SCHOOI~ PtEASE STA7E PLEASE CHECK: ~ ~
TNEtR NAHES: . ~
.IA~SKOLN t~K • ~
31.~~9~
Sc~rr 5?w~Ntc.IL ~ , '
F11EU ~N p
iT. LUClE CO M~TY
CNER`11.. SKo~.~1~c.~C ~ • ~oc~-~ ~OITq~~
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I FURTIIER CERTIFI' tha~ I~vill regi~tcr at my local address when ihe rc~istration books reopcn, and comply ~vith all
othcr rcryuirements o[ a lebal residenl of tl~is State. . ~
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I FURTIIE:t ERTIf'Y ihat I l~ave no intention ta return to my larmer domicile, and I intend to rcmain in ~
(~ORT ? T ~tJC'1 , ST ~L UC ( E , Counly,
(CitY) .
Florida. p~rmanent;; .
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Sworn 4Q nn~ ~~~'ril,ed Le(u~ ~ me thiy _ dny o( D iL ~T L V C.i ~ ~l.?~
CC_.G~G A.T). l9_ 7•~
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Rnf~_F?nl TRA ;___GI_FRK OF C IRCUI T COU2T
ST. Lt1C,~i't~ COUNTY, F l OR t U~ .
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