HomeMy WebLinkAbout2931 Declaration of Domicile and Citizenship ' ~
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TO TIIE CL~tK OF THE CIRCUIT COURT, 31~'~52 ~
ST. l UG i E ~pU~y. ~,p~~:
TAts is n~r declaratioo oI Doiaidle and Citisenship in the State ot Flo~ida tbst I am QlIag this da~r ia aecadanee. and tn
oontocaaity with Sattioa 222.1T. Fbrida Statut~es.
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I ~ras io~ a kgal resideat ot ,~~~j~~?~+ ~ " . ~ aad I
1GV) lSt~ta)
resided at l3 i4l.,CII?'~/ ST .~C~i~~i.` - Harover. I bave ehaagsd ~r doanicile to
. tBtrMt vd Nasb~t!
and ua and Aave beea a bona tids resident ottbe State of Fforida siace mo H~?•/ a2 ~ da~r ot
Sl~T -19 ~S , aad I nside at 3 sw S's~ ~/5,~' L~c v~~ -
s~d NuaDed
~T- J'/t~? c~ _ ST. LUC i E Ca,nt~. Fiorids,
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and this staeemeat is t~o be esicea as my decluation oi cltisens6ip. setua! kgal resideaee aad domk~e ia tbe State ot Florida.
IF iOR THE PURPOSE OP ENROLI.ING Ii iOR HOMESTEAO PURPOSES~
CHILDREk IN SCHOCI~ P~EASE STATE - PLEASE CHECK: ~ i
tHEiR NAMES:
y~~~1Z~?1~EL~-~~ Q'NJr'~C~1.~r"LG
Ftti~ ARP RE~g~
S71~tE CO~~
fiOCER p,Irq~S
RE O~RO YFR' 1£D ~OURT
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I FURTHER CERTIFY that I will tegister at my loeal :~dress arhen tAe ngistration boo~ts reopen. and comply with sll
other requirements ot a legal resident of this Sta?te.
I FLJRTHFR CERTIFY that I h~ve no intention to return to my former domicile. and I intend io remsin in
__T=~_p1.~L C~ _ $T . L U C 1 E~ . County,
lc~r~ .
Fbrida. permanenci; .
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Sworn to a ubseribed before me this ~ dsy ot
' . A.D.19 7•S
ROGER PO! TRAS, GLERK OF G•IRCU17 COURT
ST. Ll1G I E COUNTY, FLOR tUA
8Ys
PUTY ~eaK
, eaox 243 ~A~~2931 .
. AGO Form 71-2..''
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