HomeMy WebLinkAbout0278 vecfaration at vornici~~ ana c~~~zen~n~p
TO THE CI.EItK OF THE CIRCUIT (;OURT. 3~~5~~
sT. ~uc ~ e covrrr~r. I~'I.ORIDA:
~~~r a~~.n:~ ~r n«~v~ ~a cf~,~,ip ~ u~ sac~ ~r ~a. sb.~ i,?~ cu~ u~ a.~? ~.~a,?~..~a ~
ooar~an~cy ,~viu, sece;o~, ~2.~~. Florla. sac~t~es;, C~~;~'.~iJ~v L~ ~ .
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1 was to~ a bgal res~dent ot ~ ~~Sy¦!~~l~(,~c.A~ ~nd I
~ • 1 18tatN
n~ ~t However. I hava ~
! Nmob~rl . . ~ domicile to
and am and bi?ve beea ~ boaa Gde resident otthe Stats oiFlorids sinoe day ~
.c.t, t...a-~ 19 ~ snd I reside at ~ Q ~S N . ~~D ~~~~~.l~-~~ '/~_e~'w' I.~~ _
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~ ST. LUC i E~••~••aN~~ Couaty. Florida.
latyl
aad this statement is to be taken u my declaration ot dtizenship. actual kgat reaidence aad domidk in tAe 3tste oi Ftorida. ~
I F iOR TNE PURPOSE Oi ENROLI. ING I i, iOR 1lOMESTEAD PURPOSES~ ~
CHIL~REN IN SCHOOL~ PLEASE STATE PLEASE CHECKS ~ ~
THEIR NANESt
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i
~ • FILEO ~1t~!+ RECpRDEp
' ST_ ~li~~~ COUNTY Ft,~.
ROCEi: F~~tRAS
CLE!?K tt~~:~iT COURT vl?~
RF~n~~ ;~cqi;lEJ..~_....~~.
' Auc 16 3 vo PH 'T5
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I FURTHER CERTTFX that I will regisier at ray local address when the regis;ntion books reopea, aed wraply wilh all
other requirEments of a legal resident ot this State. -
I FURTNE~ CERTIF`Y that I have no intention to return to my tormer domicile. and I intend _W rem~itr--in
' ST. LUCIE' .County,
cr~y~ .
Florida. permane~ti; .
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Swoi~1~~6 ~i~d sib9ie~~ied betore me this ~ day of
. •,rr....~•~`
/ ~
. A.D.19
ROGER P~I S, CLERK OF C tRGUI T COU2T .
ST. LUCIE GOUNTY, FlOR1UA
BY:
PUTY IERK
. 880K ~~J PACf (r (O ~r.o F~,,, za
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