HomeMy WebLinkAbout0870 Decla~ation of Domicile and Ci#izenshi
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ST. LUC I E ap~, ~,p~pA: .
Thls V eq~r decluatke~ of Doanieile and Cit~easLlp ln ths Stat~ ot F'lorida tbat I am t~ tbL dqr ia a~oooM~nos. aad ia ~
caaforaiity wltl~ Seetioo 222.17, Fbsida S4tutes. ~
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• I was f nae~ir a kgal resideat ot 7-0 ~ C P D~' ~ aad I
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eesidcd at _ ~ 7 2(e 1~ f L-- /~'1 .0~2 , However. I 6ave
t8a..c..a Hw.e.a ~~H~d mu? doan;cue co
aod am and have been a boaa t~e resideat ot t6e 3tate ot Fiorida siaes a
~ 1!~ aad I reaids at 3 I Za A- Vv4 U C. ~~2 .
(8tewt ~sd NuobK!
_ ~~-2~ ~i ~ ST. LUC I E Counc~. Flo~+da.
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iAd LII~! S~~l1AEDt ~S t0 De ~QII if ~1~ dlClil'i110R OE t1~IZl1lslitp. aetual legal resideuoe and domie~e ia the 3tate ot Florida.
IF fOR THE PURPOSE Of ENROtLiMG Ii iOR HOMESTEA~ PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE P~EASE CHECK: ~
THEIR NAMES:
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FILEQ :4,. , ~
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ST LUw~ :?~ltT't FL4 '
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I FIJR1'fiEA CERTIFY that I will register at my local address whea the ngistrstion books rcopen, and co~nP~y with all
other requirementa of a legal resideat of this State.
I FURTHE~ CEBTIFY that I htve no intrntion to retura to my former domicile, and I iatend to remiin in
' , ST . L u c~ E co„nty.
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Florida. permanedti; . _
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Sworn to and sub~cribed betore me thi+ day ot ~7. i 1~ G~ f
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. A.D.19_
ROGER POt TRAS, CLERK OF C IRCUI T COURT
ST. LUGIE COUNTY, FLORIUA ~
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PurY tERK o ~r~~
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A('.O Form Ti 2Z
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