HomeMy WebLinkAbout2967 De~claration of Domicile and Citizenship
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ST. LUC 1 E COUN'i'Y. FlAttmA: . ~
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This b aqr decluatioo ot Doaaicile aad Citi:ens~Ip ta tbe 8tats ot Florida t)ut I ua ~ tbis dy? ia a~oordaaoe. and iu '
eonfonnity .rtth sectioa 222.1~. Ftorida 3cacute.. ~
I w?as t er1 a kgal resideat ot W~~'C ~~S? ~ • ~`-~~sw
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resWcd st ~ 3 Co ~ e t2flF~ 2 S T - However. I tu~vs cb~nged aq? doaeieile to ;
~StrNt aai Na~~1 • -
aad am and have~n a booa fide reaidea~ ot tbe State ot Fiocida staoe • da~r ot
~~4 ~t~-m dGc . 2~~~ and I rrside at r•~D ~ W~~ T~C-1~ 1 f~ ~11 ~G
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ta~t
aad this state~aent is to be takea as m~? dec4ratioa oi citlzenshlp. aetud kgal residenee and doaaieile in the State of Ftorids.
IP fOR TFtE PURPOSE OF ENROLLING IF i0R HOMESTEAD PURPOSES~
tHfI~REN IN SCHOOL~ PLEASE.STATE PIEASE CHECKS ~
tHEiR NANESZ
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I FURTHER CERTIFY that I w~l register at my local addr+ess whea the tegistration books reopea, aad eomply ~rith aU
other requiremeats of a kgal resideat oi lhis Statc.
I FURTHE~ CERTIFY that I Aave no inlentian to retura to my former domicile. and I intend to remain i~
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Fbrida. pcrmaaenti~.
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Sworn to and subseribcd before me this _t~'=~_ dsy ot ~ 1 -~l ~I~C' C` 1 i LQI2/,d I~
A.D.19 7•S
ROGER PQI TRAS, CLERK OF C tRGUI T COt~2T
ST. Lt1C t E COUNTY, f LOR 1 UA
BY:
Ptl LERK
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