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Deciaration of Dom~c~le and C~t~zensh~p
3i838'7
TO TNE CI.ERK OF TNE CIRCUIT COURT.
ST . l UC I E CpUNTy, Ft,pRtpA:
Thia b my deelaration oi Domicile and Citizea~~ip in the State ot F{orida tbat I un t'iling this da~ ia aeeordanee. and In
tonfo~mity with Seetion 222.1?. b'locida Statutes. .
I~ras iormerl a kga! resident o! j1 ~ A ( 1 _ and I
lCit71 l~+I
~ it 7(p ~ ~ ,C~ L1 - Ho~rever. I bave ebangrd my domicile to
(StrNt aed Nnobal /
and a~n and have been a bona Cde resideat ot tAe State oi Fbrida siaee " , ( 4~ d+~J? d
~-n ~ ~ .19~1. aad I reside at a~'-~ G rnl~ ~.((~Il~ ~ .1 . -
(St~we asd Num~1
o il _ ST. LUG 1 E Counc~. Ftoriaa.
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and this stateaneat b to be taken as my declantion ot eitiuaship. actual kgal reaidence and domie~e ia the State ot Florida.
I~i fOR TNE PURPOSE Of ENROLLING If POR HOMESTEAO PURPOSES~
CHILDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: ~
THEIR NANES. .
~S:"~nr~ d o x ~ `~c-~ t~5~
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f 1 FLIRT~IER CERTIFY that I will register at my local address whea the ngisRntion books reopen, and complr with all
E other rnquirements of a legal resident of ti~is State. ~
~ I FURT E~ ERTIF'Y that I have no intention to return to my former domicile. and I intend to remaia ia ~
ti~~ ~ S T. L U C 1 E~ . Couaty.
~ (Cic~l . ~ .
~ Florida. permanenty.
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~ Sworn to end subscribed be(orn me this ~ day of
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~!`~~dOP/2~ . A.D.19 7.S
~ F C IRGUI T COUF2T FiiE~ nn~~ RC~~~OED ~
~ ROGER P01 TRAS, CLERK 0 sT.~uc~c_r._~~;Ntr fU.
~ fiOG_* ~~'iRAS
ST. Ll1G I E GOUNTY, FLOR 1 UA c~_°~ ~„•~~u~ ~ou~ 4
~ p. .
~ e,r: OcT 6 2 34 PM'75
~ EPUTY LERK
~ , ` 31838'7 '
~ Boox ~44 PAGE1428 .
ACO Furm 71 22
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