HomeMy WebLinkAbout1380 Declaration of Domicile and Citi~enship
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TO THE CLERK OF TNE CIRCUIT COURT. ~
ST L L UC 1 E ~p~y. ~,p~pA: , ~
This is my dee4ration of Doenieile and Citl:enship in the State at E'forida tbat I am WIng this da~r ie~ sciordaacs, and !u ~
coatormity with Section 222.17, F'lorida Statutes. _ t
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I ~cas to~ a legai rasident ot ~ u~d 1
. ~c~cy) l8tatd
resided at However. I bsve e1u?aged my domicile to
(8tnK aud Nooba) '
and am and have bcen a bona Gde resident oi the State oi Flosid~ sines da~r ot j
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19~M and I reside at ;
i8ter~+t a.+l Nu~b~t ~
ST. LUG I E Councr. Fb*ida. ~
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+~nd this statement is to be takea as mp declantion of citi:ertahip. aetual legal residenee and doa?ie~e ia tbe St+?te oi F'lorida, f
IP FOR THE PURPOSE Of ENROLIING - IP POR HOMESTEAD PURPOSES~
CHtLOREN tN SCHOOlt PLEASE STATE PLEASE CHEGK: ~ t
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I FURTHER CEATIFY that I wiit register at my locsl address wbea the registration books reopen. and comply rvith sll
other requirements ot a kgal resideat of this State.
~ I FURTHE~ CFRTIFY that I hsve no intention to return to my former domicile, and I inlend to remain in
' ST L U C E . Cou~ty.
ICit~) _
Florida. permanemi~ . ~,~Ti~
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SworA ~and subscribed bcfom mc this ~Z. day ot ~
, ~ ~ ~ ~ . A.D. l9_ 7~ ;
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ROGER P01~2r _AS. CLERK OF CIRCUIT GOU2T ~
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ST. LUGIE COUNTY, FLORtUA - ~
BY:
UTY L RK
gooK244 ~1381 -
AGn Form 71 2„'?
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