HomeMy WebLinkAbout0989 [?~cl~r~~i~n D~r~~c~le ae~d C~ri~~nship
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TO THE CL~RK OFTHE CIRCUIT COURT.
ST. lUC 1 E CpUNTY, F'LORIDA: •
Tbis Is my declRratfot~ of Domicile and Citizcn~hip in the StRto ot Florids thet I sm liling tl~is day !n aecordaneo. and in
conformity with Seclion 2'r2.27. Florida Statutea. ' ~
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I was tarm~r~ a lcgal rc~idcnt of ~~f.~ ~L . _ ' ~~c'~~ and I
. 1 , 71 tel
resided ~t ' .]iowovcr. I hav ehRnged my domicile to
l~t and Nvmbsr) -
and sm uid havc becn a bond fide residcnt oi the St~?te of Florida since day ot
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.19~~ an~ I residc ~t ~
• (Stre~t uid Numbet)
.r.j ~ ~ -s"`~.`,~ ~ ST . LUG I E County, Florida.
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and this statcment is to be taken ns my declaration oi citizcnship. actual legsl residenco and domicilc in the Statc of Floride. {
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IP f OR TNE PURPOSE Of ENROI.t ING ,I F POR HOHESTEAD PURPpSES~ ~
C111 LDREN f N SCN00l.~ PLEASE STA7E PI.EASE CHECKS ~ e'
THE IR NA ESt ~
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` ^ ilLEC AN': 3EWROfO r
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• kCCf,= Pp!TRAS
~LERK C1~~~iT COURT
4FCQR' VE~~=lED.~~
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I FURT}IER CERTIFY tha~ I wiil regi~ter al my local address when the registration booY.s reopen, and comply ~with aU
other requirements ot a Icgal residenl of l!~is State.
I~iRT1lE;t~~ RTIJ'1' ~t I have no intention ta retun, to my formcr domicile, and 1 intend to rcmain in
,;~w~ :-~1'~ .~~Y"~.«.~ ~ ~ Sr . L u c i e , c.~~~o~
cc~~r~ . ~ y.
r lorida. pcrmanen~i; .
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Swqrn to a~d'su~+~yiiy~c~'I,clure me this ___l , day of ~
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R(1~fR _POi TRAS. CI~fR_Y. OF C I_RCUI'( COIAtT
ST. Lt}G~ COUNTY, f ~OR 1.t)!?
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a,c-~l~• o-L~cL~ ~
f.PUTY LCItIC
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