HomeMy WebLinkAbout2247 D~ctaration of Domiciie and Citizensnip
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T,0 THE CI.ERK OF THE CIRCUIT OOURT. .
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ST. LUC t E ~p~y. ~,p~A: ~
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Ti~b b ea~r des4s.tien ot Doa~ and CltiseasAiP in tbe Sats ot I~7oMda th~t I an~ W~n~ eRis da~r ta aceoedanee: and in '
ooatormity with Secttoa 222.1T. Flocida Statutss. E
I wss ! lifll~ a kgal e~esideot ot J.•,~;T~QQ, f.~a T ~ ~.~G - aad 1
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resided ~t S~~ ~ rt C p•~ I~. _1 ~ - Ho~rever. I have ehsnged a~? doaucile ta
(BteMt a~d N~~t?
aad aa~ and have beea ~?boaa t'ide resideat otthe 3tate at Fiorida sinos j.~ da,~r ~
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s . aAd I res~de at ~d .3'~I~~s e ~H. ~
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L~e..? -4 T' L4. ~ ST. Ll1C 1 E countr. Flocidt~. ;
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and t1~is statea~ent is to be takea as m~r deebration ot eitir~enshIp. utual legal resideace and doanie~7e ia the Stste ot Florida. R
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IP FOR THE PIlRP08E Oi ENROLIiNG • Ii fOR NOMESTEAO PURPOSES~ ~
CHIL~REN IN SCHOOL~ P~E11SE STATE P~EASE CHECKS ~
THEIR NANES:
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6~.~,,. L"~ OPAi Q~~:~-,F~~
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T FURZ`NER CERTiFY that I wU register at my local address when the registration books reopen. uid c~mply with sll
oti~er requirements ot s kgal resident ot Lhis State. _
1 FURTIiE~ CERTI~'Y that I have no inteation to return to my tormer domicik, and I iatend to remain ia
D~r,T Si_ L~.cr - ~ ST. LUCIE r ,Ca~aty.
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Florida. }?erma~~enti; .
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FILE~ a?tC KECOci0E0
~ ST_.LUCti .~lJNTIf FLA. • ;
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~ ~ • CtE~K C'~.~GlT COURT
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Sworn to and sebscribed before me this ~O~ day of
~ A.D.19 / J~ }
ROGER P01 TRAS, C[.ERK OF C IRCUI T GOt~tT
ST. LUGI COUNTY, FLORIUA
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EPUTY ~ERK
~ • Boo~ 243 PA~E 2247 ~
AGO Form ?I 22
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