HomeMy WebLinkAbout2731 Deciaration of Domicile and Citizenship ~
~ ~ 321215
TO TN~ CI.EAK OF T~ CtRCUIT OOURT.
ST. LUC 1 E apu~. rt,ptup~s
~ Tf?r d ay? a.~4e.eioa d nomkll..oa aei~s~~ip ia a» s~.t~. ~l t~k~ia. e6~c t.m ~W+s thi. d.,r ia.aoo~+aano...aa L
eoafoemifjr wttA S~etioa ~2.1T. Floeida &at~ta. .
, j~~~~~~ L.•~OM/AlST~1~ _ I~A,SSRCHUSETTS ~I
IC4) Is1aW
ST RT~ STR E!~ T -$owrwe. I baw ehaaeed m~r domicils ~o
~~wt ai Nr0~e1 TN
asd aa4 sad bave bean s booa Sds redd~nt ot tbs 8tat~ at F7orida si~xa ~ ~ d~r a[
sEPT~M6~R .~I~~ ~8~~ s,E• V~STHAY~N ~ouRT
ISa..c..iN..eKi
ponT sr. ~.u~~~ ~ _ ST. 1t1C1E
tciv~
aad t6b statement is to be takea as aq deelaration ol dti~eaahip. aetuai k~al rsddsnee aeid do~aia'le jn ehs Seste at Flaida.
If FOR TME PURPOSE OF EMROLIING Ii POR HOMESTEAO PURPOSES~
~HI~OREN IN SCHOOLi P~EASE gTATE ~~EASE CHECK: ~j ~
THEIR NAMESS ~ ~
FIIEU t~~ r:COkDED
ST. ~tlCIC i.uUNtY FI.A.
F~~lTaAS p
~ CL~Rr. •v;f~T CCURT
RFf ~;•r~ ~i[h
~ No~ 18 2 io PM'75
321215
i i FURTHER CERTiFY that i wal regiscer at mr 1oca1 address w6en che regiscrscion books reopen. aod eompl~ ,.ich au
` other req~ie+ements ot a kgal e~esideuc of t6i~ State. -
I F[TATHE~ CERTII~'Y ihrt I have ao inteatioA to rat~ra to m former domicik. and I iateod to nmaiu ia
PO RT ST. ~.UG /,E ~ ~T . L U C 1 E . County.
(Qt~1 .
Ftorida, permuxna; .
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-
~ ' MI~DR~ED BDUCHrER
(I~)
~ /8~9 s.~E. viEsTHRYEN CT.
lAdinM)
18 PORT s-r, u~ r~. 3 µ.6'~
Sw~orn to and su `}tore me this dar ot
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iui A.D.19 / J-
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~ G RCU I T COURT ~
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ST:=t ~ : z?~~~ -
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~ • P =Y LERK -
a . Boo~45 P~~72$
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AGO Form T1 ?2
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