HomeMy WebLinkAbout0063 ~?ecl~ratior~ of Dom~c~le anc~ Ci#~zensh~ ~
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TO TiIE CI.FRK OF THE CIRCUIT (?OURT.
~ ST L UC 1~ OOUNTY. FLORIDA:
Thb Is my declaratk~ ot I)omicile a~ed Citiseaahip tn tho State of Florida ihat I am tilir,g thls d~r in soea~dance. ~nd in
confarmity with S~etion 222.17, Florida Statutes. ~
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I ~ras iormert • kg~l resident ot ' aad 1
. iCit~) 13tab1
resldcd at '.~l~ How~evet. I bave changed my domicib to
(StrNt osd Nua~D~M ~ .
:nd am and Aava beea a bona Cide resident ai tha Siatt of FlaridA since , da,~ ~t
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'.19 and I reside at : `e- -
trwt a~d Numb~sl
~f ~.,p~ ST. LUC t E Councy. Ftor;da, -
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and this ststement is to be taken u my declaratii+n oi ciiise~i~. :etuat k~ r~id~*~s+.+ a~d domicile ifn the Stab of Ftorida. !
J F FOR 7HE PURPOSE OF ENROLI iNG I i' ~UR ii4NESTEi~O PURPOSE~~ . ~
CHILDREN IN SCHOOL~ PIEASE STAYE P~EASE CHECKS ~
THEIR N~MESt .
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I FUIiT1iER CERTIFY th~t I w~l register at my locai address v? hen the registration booics reopen, and oomply with ali
other requ:rements ot a legal resideat of this State.
I I~'U iE~CF,RTIFY that I have no intention to retnrr. to my tormcr domicilt. and I iatend to remsin in
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Flc?rida. permanen~i; .
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Sv~orn to and subscribed betore mc ih~ ~ day of
_ - . A.D.19 ?G -
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RO~. •-E' ~~T'R~ : LLERK OF G f RCU i T ~QtJRT
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ST.~ ~~iJC.f E COUN~f ~ lOR 1 UA
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EPUTY l.ERK ~
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