HomeMy WebLinkAbout1344 Declaration or uom~ci~e ana ~~~~zensn~p
TO THE C4EItK OF THB CIRCUIT OOURT. 316~~'~
ST. LUC 1 E apUNTY~ Ft,ORIDA:
Tl~is b my declaratiou ot Domk~s aad Citiseaship ia the State of Florid~ tbat I un tilloa this da~r in aaordanee. snd iA
coatormity .v~ch Seceton 2?2.1T. Florida Stacutes. ~
I was torme a kgal resideat ot ~A~'I aE~? _ ~ ~ O/V~{I~'/ ~ I .
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reaided at ~/•r' ~~u~ _ - Ho~vever. I have chan~ed mp domicile to
~sa..~.daN~e.r? ~'}laGli sf ~
and am and have beea a bona Cide resldeat oi the State oi Fbrlda slnos a~,~r
' ,(J ~ A~Y~ 's~~~s .
19 J and I reslde at ~/~•Sv g~/1~•~ i9 ~ ~
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~ D l~ ~ S'~ ~ y~ ST. LUC I E councr. ~foria.,
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and this statement is to be takea aa nyr dec4ration oi dtiunship. actual kgal reaidenee ~nd domici'b ia tAe State ot Florida.
If FOR THE PURPOSE OP ENROLIINC Ii POR IIOMESTEA~ PURPOSES~
CNIL~REN IN SCHOOL~ PLEASE STATE ~ PLEASE CHECKS ~
THEIR NAMESZ
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I FURTHER CERTIFY that I will regisLer at my loca) address whea tbe registration books reopen. and comply R~itb all
other requirements of a kgal resideot of this State. ~ ,
I FUA ~ C RTIFY thst I h ve no intention to return to my tormer domicile. and I intend to remaia in .
S'~ G/~ S T. L u C 1 E , County.
f ((St~1 .
~ Fbrida. permanenti~ .
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Sworn to and subscn'bed before me this ~ dsy ot '
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" _~~T - - A.D.19 ~ ~ -
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~ ROGER P01 TF2AS„ CLERK OF C IRCUI T COU2T
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ST. LUGIE COUNTY, F~ORIUA
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EPU Y ERK
~ go~K243 P~~f1344 ~~~o~,,,-~
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