HomeMy WebLinkAbout0829 Declaration of Domicile and Citizenship
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TO THE CLERK OF THE CIRCUIT COURT. ~
ST. LUC 1 E t;ovt~rry~ FLORIDA:
Thts ta my declaratioa ot Domicile urd Citiun~hip in the State ot Florlda that I am Ciling this day ia accwrdance, and in
eontormity with Section.222.17, Florida Statutes.
1 was fo,rm~erl~ a legal resident ot 0 q ` ~ c W-~Q-v ~ 1
.r ts 1(~7?) ~seat.l
it ~~J - 2 (o . Hwvever. I have ebanged my domicile to
(8tt+~t aod NomA~r) ~
t~ / 7.S
- and am and have beea a bona fide resident ot tAe State oi Fbrida siaoe dU? ~
.
_ 19_~ aad I resids at ~ V S
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(&~wt asd Num~rl
~o K7r S%- ~ ST. LUG I E Councr. Florida,
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and this statement is to be taken as my dectarstion ot citiunahip, aetud kgal nsidcace aad domieile in the State oi Florids.
If FOR THE PURPOSE OF ENRO~IING ~ IF' POR HOMESTEAD PURPOSES~
CHiL~REN IN SCHOOIi PIEASE STATE P~EASE CHECK: ~
THEIR NAMES:
~ ~
~A~ " ~
1~ r rnl~iP~r 1,~~/~Fnrc-~c/~~~
,~LII ~ L L~ r~t lr1E ~PE~X~ ~ C I~ .
I FUBTIiER CERTIFY that I will register at my local addres~ when the registrstion books reopen. and comply with all
other requirements of a legal resident of this State.
i I FUBT}iE~ CERTIFY that I have no intention to return to my former domicile. and I intend to remain ia
' P~} R T S' 7• c i ST . L u c i E . Counly.
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f F'lorida. permanenti; .
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E Sworn to a subscribed before me this ~ C _ day o[
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? . A.D.19 7~~
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€ ROGER P01 TRAS, GIERK .OF G IRCUI T COURT
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~ ST. LUG COUNTY, I.OR 1 UA
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~ BY s ~ ~ l~-C~~
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' EPUTY LERK
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k ~ $0~~44 829
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