HomeMy WebLinkAbout0218 Declaration of Domrcile anq Cit~zensnip ~
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TO THE CI.~rRK OF THE CIRCUIT COURT. ~
S . LUC 1 E o0t~rrt~t. ~t.oames . . . ~ . k
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• TAis r aq d.e~ac.eloa ot Domkt~. and Citb.a.hip M.t~. Stae. ot F'loeid. tDat I am mies tl~i. dy? ia soooaia~e.. and ta
aostot~pAtty ~tli 3~etbn 7ZS.17. ~'lorida Stat~t~. -
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~ 3 ~ iC5 D~.C/A~//f~A~ /5? - AdwwK. I tiaw ehanpd aeq? doaek~s to
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ui a~s aad luw b~sn a booa tfd~ twid~~ e~ tM State ot Fio~ida ~iaa dq? at
_ ~ aod I e~id~ at JQ • /9 • /1~~~•CE.S .Z'~S.C/plL~,~
{se~we..~ N~~e!
d.EillSC,!/ B,E'~9c~5/ _ ST. LUG i E c,o~. ~'1ocWa. • ~
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ud tl~b stat~m~nt b to b~ takea as aq daela:atioa ot ei~anship. aetwl k~al residsaa aad domidls L~ tbs &at~ d Flocids. :
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IF fOR THE ~UR~OSE Of ENRO~LING IP POR MOMESTEAO PURPOSES~
CNILOR[N {N SCH001.~ P~EASE STATE ~IEASE CNECK: ~
TM[IR NANESS
f LEO ANO 11E60AQE0
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CLERK CIRCWT COltilt ~ -
lIECORD YERiF1E0
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I FUliTHER CERTIFY that I w~! ngiit~r at ap local addreas w6ea the re~istritioo books reopen. and eompip aith a11 i,
otber requirements oi a kgal cesideqt ot this Stats.
I FUATHEFt CE t6at I bave ao Intentioa to return to mr focmer domicile. and I Intend Lo nmain Ia
i S,E/1/ BE/9C/j~ _ ST . L U C 1 E - County.
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Floeida. permaneact,•. .
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Rc)(;FR P01 TRAS,~CLERK OF C iRCUI T COU2T
ST. tUC I E COUNTY, f LOR t UA ~
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PUTY ERK `
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