HomeMy WebLinkAbout0848 Declarat~on of Domicile and Citizenship ~ ;
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TO THB CLERK OF THE CIItCUIT COUAT. '
sr. ~uc ~ E oourrr~r. ~c,oxm~:
Tbla 4 m~r declantion ot Domicile and Cit~eaship in ths State oI Fbrida that I am Gliag thL da~ it~ aecordanes. aed ta ~
oontornucr .vtch s«tion 222.17, Florida sacue.s.
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• I wu torme~l a legal re ' at of t ~ and I
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resided at How?ever. I havs e6aaged m~r datucile to
18tiwt ~d Nrs~l ~
aad am and have been a boaa Cds n~ident ot t~e 3tsts ot Florida sinos da~? ot
U~~~fl~Yl , ~~~~and I teside at IS tx3 ~ / V•~~E' !J Q• i
(Btewt aed Nrs~rl ~
• Pi ~IeC' C ~ ST. LIIC I E ~t~~ ~
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and tlw atatemeat is to be taken aa m~ dee4ratioa of eitiuaship. actual kgal t~sidenoe and domicik in the State ot Fbrida.
If.FOR THE PURPOSE Of ENROLLING IP fOR HOMESTEA~ PURPOSES~
CHILOREN IN SCHOOL~ P~EASE STATE PLEASE CHECKt ~ :
THEIR NAMESS ~
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F'ii.~~ :~~;~F~ED
$T. Li3~ : ::AFT FIA. '
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I FURTHER CERTIFY that I will register it my local addr+ess when the registntion books reopea, and comply with all
other requirements of a legal resident ot this State.
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I FURTHE CERTIFY that I have no intention to return to my former domicile. and I intend to remain in =
I` ~~•~i'C~?C~ ST. Lut~E ~
! - . . County. ~
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' Florida. pertnanenti; . ~
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= Sworn~#o tnd~Utiscribed before me thu day ot L' ~ t• ;
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ROGER P01 TRAS, CLERK OF C IRCUI T COl~2T ;
~ ST. LISC I E COUNTY, FLOR 1 UA '
_ BY• \j I k
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