HomeMy WebLinkAbout0795 .
D~claration of Da~micii~ and Citiz~nship
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. 32627'3 #
TO TIIE CI.EItK OF TiIE CIRCUIT COURT. ~
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ST • L UC I E _ COUNTY~ FIARIDA: "
Thia b my dalaration ot Domicilo and Cjttzcnahip ia the Stato ot F'lorida that I am filing th~ day ia teeordaace. and in
toafocmity with Scetion 2~.17. F'locida Slatutos. ~
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1~?as torm~rly ~ k al resldeat ot v'%C~~~At- ~ ~ ~ i
K~r1 1se.c.f
a~ ~ However. I bave ehan my domicile to
~ (8t~wt wd Numbe~l
and an have bcea do res~ent of tho Stsio ot Florida since ~ d~y ~
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- 1~. and I residc at
' (3 ~sd N~meerl
f.Q C ST . L UC 1 E' County. F1or~da,
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and lhis statemcat is to be taken ~s my declantioa ot eitizenship. ~ctual legal sesiden~e and domicile in the State of Florida.
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• If FOR YNE PURPOSE OF ENROLLING ~F i'OR HOMESTEAD PURPOSES~ ~
CNI~~REN.IN SCHOOL~ PLEASE STATE P~EASE CHECKt ~ E
tHE1R NAMES:
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~ flLEO ANO RECOA~£0 #
- iT.lllCtE CDUNTI? lA. :
- ROC:*' PO'TRAS ~
CLERK CiRCWT COURT
. RfCARD YERiFi~O -
- ~ ~ ~ ~'~e 1 9 58 ~'1'T6 -
. . - 3262~??3 -
I FUItTItER CF:RTIFY that I will re~istcr at my local address whcn the registration books reopen..and eomply with all
olher requimments of a legal resident of this Stale.
I FURTJ~E:~ CERTIFY thal I I~avc no inl~ntion to rcturn to 'my torn~cr domicilc. and l intcnd to remain in ~
• ~ ST . L U C 1 E , County.
lCitYl . ~
' I~'lorida. pcrmancn:i~ . ~
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Sworn to end subscrilmd beforo mc lhis ~ day o(
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r ROGFR POI ~S~ Ct_FRK OF C IRf,UI T COURT .
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ST. Lt1G I E coUPJTY, F~oR 1,Un
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