HomeMy WebLinkAbout2187 Deciaration of Domicile and Citizenship
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ST. LUG 1 E ~pU~y. ~p~~:
Tbis is aqr deelaratbn oi Doanicik a~d Citiseaship ia tl~e State oi Flacida that Y am filias this dyr ia saoedano~. and ia
~ontormity wicA Seecton 222.1T. Floriaa sawc~.. ~
I was i er s bgal resident ot aad I
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rsside~d at Ho~rwer. ~ liaw e1W?a~e~d nqr domicik to j
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ae~d ua and Aave beea a bona Gde resideat ot tbe state ot Fbrida ainos f~ da~r ot
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1'~ .19.1,~~ aud I reside ac /O 0 8`
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aad this statemeat v to be takea as mp deelaration of dtiuaahip. actual legal reddenee aad domieile in the 3tate ot Florida.
If iOR THE PURPOSE OF ENRO~LING IF fOR HOMESTEAO pURPOSES~
CNILOREN IN SCHOOI~ PIEASE StATE ~P~EASE CHECK: ~
TMEIR NAMESZ
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I FiJRTNE~i CER1`IFY that I~vill register at my local address ~vhen the ngiatration books rcopea, aad eompy w~ith all
other requirements oi a legal resident of this State. -
FUA'fHE~~R~IF'Y that I have ao inteation to return to my fora~er domicile, and I iatend to remain ia
_,~f ~ S T. L U C 1 E ~ County.
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Fbrids. permenencl; . ~
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~ FILEU ahU RECOR0E0
ST. LUCtE COUNTY FtA.
RGi;EeZ r"OF1A~S .
CLE~tK G ':GUfi COURT ~
P.Ef.Oan yE%"~l~p.~.~.~.~ .
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Srvorn to ~nd au ~ibed before me this day ot __r i D p '
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..~~L.~ G~i``~~ ~ , A.D. l9 ~J~
ROGER POI TRAS. CLERK Of C IRCUI T COURT
ST. LUGj~E COUNTY, FLOR 1.OA
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BY: Ja~;l~.~. ~c~t~~-c~ -
EPUTY 4ERK
~ - BQ~244 ~E2~87 ~
. • AC4 Form 71 ~2^
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