HomeMy WebLinkAbout2233 Q~cl~ration of Damicile and Ci~i~~nshi y~ `
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TO TtiE CI.~RK OF THE CIItCUIT COtIRT, ~1~~r~
ST~ LUG i E ~putvTY. FI,pRIDA: . _
T'bis I~ my decl~ntlon oI Doa~icjk and CltlzoasAip ia the State ot Fiw~ida that I aau t~e~ tAis dyr in aceord~nee. at+d in ,
confo~mit~r with Seclion 22'Z.17. Florld~ 5tatutes. ' ~ +
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I wu form~crl~ ~ kgsl rasidcat oi ~ rn ~ ' ~ v • . l" ~ ~ ~ ` aad I .
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restdcd at ~ Y'~ . . I~owever. I bave changed my domicilo to
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~od am and havc bcen a bona fide residcnl of ihe St~te ot Florida staee day o!
:7cc J ~ _g , ~91~_..aa ~ ~t~.e ~~-S ~,c~ P ~-71~ e r 6 ~ .~Q ~`~-i~o
~ (Strwt asd Numbu)
N Y C e. ~ ST , l lIG I E County, Florida.
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~nd tbis st:tement is to be takcn ~s m~? declar~?tioa oi eltizenship. uctaal kgal residenee and domieile in the Stutc ot Fbride.
IP POR THE PURPOSE OP ENROLLING IF fOR HOHESTEAO PURPOSES~
CHIt~REN IN SCHOOI~ PIEASE STA7E P~EASE CHECKS
tHE IR NAMES~t .
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I FURTIIER CERTIFY tha~ I will regi~tcr al my local address whcn the registration books reopcn. and corrplp ~vith all .
othcr requirements o[ a lcgal resident oi this Statc. ~
'i FUR1'll R CERTIFY that I have no intcntion to rcturn to my farmcr domicilc. and 1 intcnd to rcmain in
' '~i E 1^C ~ , ST. LUGIE .Caunly.
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! Florids. permancnti;.
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= Sworn lo Hnd sul,ccribcd 1~c~uro mc lhiy ____~Z_~ day o~ ~ 1'' C~_
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~ ROC~f-_R POITRAS. CLFRK OF CIRGUIT COtd2T
~ ST. L11C I C COUNTY, f l. R 1.UA
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