HomeMy WebLinkAbout2491 Declaration of Domicite and ~~~~zensnip ' ~
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TOTNE CLBRK OFTHE CIRCUIT COURT, 31'7~0~3Q
ST. LUC f E ~pUNTy~ F'I,pR1DA:
Tbis Is np? deetaratioa ot Domidls ae~d CKheoship ta tl~e Stat~ ot Florida tlist I am tilio~ this da,~ is aeoordanos. aad in ~
~ootocmity with Se~etioa 822.17. b'lo:id~ Statu~a. 3
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I was i rn+erl a kgsl resideat ot c] ~h a _ aad I
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resWad at ~o ~(.t). Gvill~m s• - No~rever. I have chsa~ed uyr domic~e to
(8ti+~t ~nd N~slKl .
sad am and bave beea a bons Qde resldsat ot tbe 3tat~ at Fbrida sinas g/~ S d~,r o~
_ ~s_ ana T re~d. at a S/9G ~,Iva .colS _
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~Die,r e e . f/Q _ ~ _ ST . I.UG 1 E CouA~~. ~7o~aa 3
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i1~ t~S fLitl~llt ~S LO ~ Ltktfl if Ol~ dltlili~1011 0~ lI~Al~jl. ~ilv k$i~ i!~!M! iIId O~ ~Of'ba.
Ii fOR THE PURPOSE Oi ENROLLING iF fOR NOMESTEAC PURPOSES~ ~
CHIIOREN IN SCHOOL~ PLEASE STATE P~EASE CNECK: ~ ~
THEIR NAMES:
~eL~e/1~ ~ ,~i~o~ S~/~a.tal '
s /17QI~Ie ~e/~QK~
- ~ ~?~i`~ fEGOROED
. ST, lUC!E ~~bMT~ flA.
RGCi' F~,;;,~~S
R~ C1Ex!( t'; .~~;~T COURT
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I FUATHER CERTIFY thst I will register at my loc.~l add.°+~ when tlie registntion books nopen. and eompl' ~?itb all
other requirements ot a legal nsident ot this State.
! I FU~i~ C~RTIFY that I have :ra intention to return to my tormer domicile. and 1 intend to remain in
yr~lu ~ ST . L U C 1 E . County.
j ~ lt~t71 .
! Fbrida. permaneatl; .
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~ Sworn to and s scribcd betore me thw ~ day oi a ys~ ~~L~IQ•~~ ~ y"~
C~Q,
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~ A.D.19 / J -
~ ROGER 1?RAS. CLERK OF CIRCUIT GOUi2T
ST. LUC I E COUNTY, FLOR 1,DA ~
~ BY:
~ EPUTY ~f
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~ bo~243 P~2491..
AGO Fnrm 71 22
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