HomeMy WebLinkAbout0857 Declaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT COURT, ~ 3241 ~ 3 ,
ST. LuC 1 E aputvTy, Ft,oxmA: ~
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This is my declantioa ot Doraicile and Citisenship ia the 5tate oi Fiorida that I~m Ctl~ng this dar in ueordsace. and ia _ ~
coatormity Mith Sectioa 222.1?. Florida Statutea. ~
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I ~ras Iormerl a legal reaident ot Q 7 ~ = ` _ ' ' ~ I
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resided st S~..~~ F' G~ ~//a 12' - However, I have e~aged my domieile to
(Str.~t ~od Num~r)
and am a~d have beea a boaa Gde resident of the State ot Flotida ainoe ~+f ~
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---19__. u~d I reside at y,~R JEl - ~ Y- •
ST. LUC I E~~N~ F
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" I c~ V~ ~ ~C~ _ County. ~'lorida. ;
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aad this atatemeat is to be taken as my deebratioa ot eitiunship. act,uai kgal nsidence and domieik in the State oi Fbrida. ~
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~ IF FOR THE PURPOSE Of ENROIIING IP POR HOMESTEA~ PURPOSES~
CHIIOREN IN SCH00~~ PLEASE STATE PLEASE CHECK: ~
THEIR NAMESL
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" N~ ~ f ~EO ANO fIE
4UCiE CCUNTI'~flA,
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C~EaK c~a~u~t cOURT ~ ~
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I FURTHER CERTIFY that t will register at my local address when the registration books reopen. and comply with all
! oiher requirements ot a legal residenl of this State.
j I FURTHE~ CERTIFY that I have ao intention to return to my [ormer domicile. and 1 intend to remain in
• S T. L U C I E , County.
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~ Florida. permanenti; .
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~ Sworn to and subscribed betore me this ~ S~-day ot ' r 1-~~~,Y~_ P
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~ ROGER P01 TRA CLERK OF G IRGU! T COURT
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~ ST. Ll1GIE COUNTY, F~ORIUA
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