HomeMy WebLinkAbout2181 Q~c~~r~~i~n c~f ~~micile ar~~1 Ci~i~~n~hip
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TO THE CL~;RK 01~` THE C1RCUIT COURT.
ST. LtJG I E ppUNiy~ FI,ORIDA:
~ Thb ta my dcelaration of Doaiicile and Ciliun~hip in the Stato ot F1orlda that I am C~ling this dqp In aceordanco. u~d in ,
eontormttr with Scction 2~.17. Florida St~tutcs. ' ~
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1 w~s fornncrl,Y a legal testdcnt ot ~s,~~,e~sj,~~.pioc~. . l,"" snd I
tC~V~ lStatef
r~sidcd ~?t ~ ~'jJ . I~owevcr. I hsvc chaoged my domicilo to
l~wt ud Nune~x) ' •
aad am ~ad hAVC bee~ a bona lidc residcnt ot the Stato of Florida since day Qt
~ ~~,Q .19~L~a~d I res~de at t - .
St~t aad Nnmber)
~`t_'~ ~ o.s~ ~ ~ ST . LUG E County. Fbrid~.
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and this statemcnt is to be takcn as my declaration ot citizcnshtp. actual kgal resideacc and domicik in the State oI Fbrida.
IP POR THE PURPOSE Qf ENROLLIMG If FOR NONESTEAO PURPOSESi
CHILOREN IN SCHOOL~ PLEASE STA7E ~ PI.EASE CHECK:
THE IR NANES: j__.~
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iT. WC:E COWiI7Y f~A. ~
R06cn P7R~AS
. ~lE~l~ ~~~:CUIT COURT
gFr,c?o vc.:tFiL;l
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I FURTIIER CF.RTIFY tha~ 1 will regi~tcr al my local address when the registration books reopen. and comply avith ail
othcr requirements ot a Icgal resid~~nt of l!~is State.
~ I FURTIIE~t CERTIFY lhat_ I have no intcntian to return to my formcr domicile. and I intend to remain in
i '~-c1-~ ~ ST . L U C 1 E . G•unly.
k (Citrl .
~ T'lorida, permancn~i;.
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~ Sworn lo rnd slib~crii,rd tietoro me lhis ~ 3 day of ~ ~~l~Pi3 ~ Q , T
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~ ROCaFR 01 TRAS. C~ERK OF C IF:GUI T COU2T
~ ST. LUG 1 C COUNTY, FI.OR 1.UA ~
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