HomeMy WebLinkAbout2249 L?~c~~ru~ion ~fi ~~m~~~le an~1 Citix~nship
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TO THE CL~[tK Ob` THE CIRCUIT COUItT~ ~
ST. LUC i~ COUNT'Y. FI.ORIDA:
Tbb b my dcelacation ot 1)omicile aad CiU~cnship iu the Siate ot Flodda tha~ I am t~in~ tAis day In aeeordaaee. u~d ~u
conlormtt,p with Scction 222.17. Florida Statutes. • ' ~
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1 wns tormcrl • kgal ro~fdcal oi 1/J/,.,..~r.. , ~ ~,,,_,_,~Y~n 1~ _ aud I '
tC~71 lStat~)
restdcd at `'f, • 3 9 Howevcr. I h~vc cbaaged my domicilo to
l&n~t uid Nou~ex) •
and am u~d A~vc bcen a bona t'idc resldcnt ot ihe Stato ot Florida sinee day oI
a ,19,.,'~.~ aod I ns~de at 7~~ 7 s~t~f ~ -
~ d~7 %iLCt. . tSt~e~t Nd Number) ~
S_T . L UG I E Couaty. Florida.
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aad l1~is statcment is to bo taken us my decluation ot eit~zcasbip, aetual kgal residencc and dotnicik in the Stato o! Floride.
IF POR TNE PURPOSE OP ENROtLING . IP POR HONESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STAYE PLEASE CHECKS ~
YHEIR NAMES:
_ ~.~..a[ /Y~.~ F~lf~ 1txD AEC
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l FURTIIER CFRTIFY that I wil) regiKer al my local address when ihe registration bovka reopen. and co~r.ply acith aU
othcr requircments o[ a lebal resident of lhis State. '
~ 1 FURT}IE~?#.~FR IFY th t I have no intention to return lo my former domicile. and 1 intcnd lo remain in
I ~_..i.+~ o ~ ST . L U C! E . Couoty.
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~ F20CER .ITRAS,~ CL~RK_OF GIRCUI'f COU2T
~ ST. LUCIL COUNTY, FL.ORi A ~
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