HomeMy WebLinkAbout0066 t~~c1~r~~i~n af ~~micil~ an~ ~itoz~nship ' ~
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TO THE CI.~;RK 0~ 7'NE CIRCUIT COURT,
ST. LUC 1 E ~pUN'1'y~ FI,pRIDA: . , .
Thls ts my dcelaratloti ot DomIcile and Cittacnship in the St~to o~ I~'torida tha~ 1 am i7ius tbls da~r in ac~o~sd~neo. and ia ,
eontormttr with Scctioa ~2.17, ~'lor~ds Statut~. . ~ '
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1 was ~ legal residcat ai f~~~ SV I II ~ ' , t~ % or Ld g`_, ~ I -
It~t~?1 fState)
~t Q 15 ~ ,~.°q I e r rn n Q C~ - . Nowevor. I l~sve eb~aged nq? domicilo to
(~t snd NussOer) . .
•nd am ~nd havo bccn a bona fidc r~sidcnt o[ the Stato ot Flottda since day ot
19,_. aad I ns~de at ~ ~ ~ S. S, 1.
• ISV«t wd Nuweerl
_~~~i ere~= sr. LUG 1 E c~pi,,.
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and thts statement is to be takcn as my deelsntioA oi citizcnship. actual kgat residence aad domie7c in ihe Stato ot Fiorida.
If fOR TNE PURPOSE Of ENROLLING - IF fOR HOHESTE110 PURPOSES~
CHILDREN IN SCNOOL~ PLEASE STATE PLEASE CHECK: ~
THE~IR NANES2
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ca EcoxoEo
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~f ~R~ YE~ FCfO C0lIRT
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I FURTHER CERTIFY tha1. I will rr.gi.~ter at my local address when thc rcgistration books reopcn. and eomply with ~U
' othcr requircmenis o[ a lcgal resident oi lhis State. ,
I FURTIIE~ CEBTIFY that I hav~ no intention to return to my lormer domicile. and 1 intend to remain in j
i ' , ST . L U C 1 E , Cuunty,
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~ Flarida. permancnti; . '
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~ Sworn to nnd subseribod bcforo mc lhis dny oi • t~ Y' ~ I ~
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