HomeMy WebLinkAbout1192 - Q~c~ar~•~ian ~fi ~~m~~~t~ ar~~ ~i~i~~n~hi~?
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TO THE CLEItK Ob' THE CIRCUIT COUItT.
ST. lUC 1 E Covt~rt~r. FI.OAIDA:
This is a~y dccl~ratlon ot Do~nIcile and Citiacnship tn the St~to oI I~'lorids that I am C~ng this dar i~ sccordaneo, and ~ .
contornnity with Sectioo 2~.17. Ftorida StRtul~.' ' ~
I was to~~_mc_r~t a legal residcnt at ~~/1L~ P~'~' I~ , •r ~ and I '
lC~tyl lSt~te)
residcd at z z S~ (.~l . ~t/ ~PPo.? 5772 EE 'r . I;owevcr, l have changed my domicilo to
~ lBtreet wd I~u~oEer) . .
and ani ~?ud :~~rc bccr. a hoaa tidc residcnt ot !h~ Stuto o( Florida stnce ~ 3~ d~?y of
~v Nt= ~ 19 ?J~- aad I r~side at 1~ l. A ~ oL ~pL 3` A,.,}~yT~ N,~~,Len/ -
(Stroet and Numbe?1 .
ST. LUCIE ~
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S~Ant~ ~S~'i? EAG N Couaty. Florida. :
tt~tyl 'i
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dnd Lbis atalement 1s to be taken as my declaration oi citizenship. actual legal residence and domicile in the Stuta ot Florids.
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IP POR YHE PURPOSE OF ENROLLIN6 If FOR l~ONESTEAp PURPOSES
CHILDREN IN SCHOOL~ PtEASE STATE PLEASE CHECK: ~ _
TH£IR NANES2 '
31~~31 `
F~~E~ ~w0 RECUR t
ET, IUCtE C~ilNT11 ~L~
~ - ROCiR ?pa; RAS .
alEftK Ct: ;~{j COURT
RECOPC ycR;F1E~.~,~~ t
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1 FURT}iF2t CERTIFY that 1 will register at my local address wl~en thc registration books rcopen, and corr.ply with all
olher requirements ot a Icgal residcnt af tbis State. ~
./I FURTIlC;t CFRTIFY that 1 ave no inien~j°n to relurn to my formcr domicilc, and 1 intend to remain ia
H tlrc tl ri~l Sn.J ~5~. A>?~ ~.~EsYSCT/ lJE~4c.N , ST L U C 1 E ,~,~~~y~
(Citp1 . i~
Florida. permancnti;. ~
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