HomeMy WebLinkAbout0301 . . - ~
D~c~ara~tian of Dom~cile ~nd G~ti~enshi~ ~
3322~~'~~~
TO THE CI.EftK OF THE CIRCUIT OOU~iT.
ST. ~.uC I E Covrrr~t. F't.o~tID~: . .
Thia.is my dectaratiaa ot D~imic~e ~ad CitizensAip iA the State ot FlorWs that I am GUng this da~r ta aeeorrianee. and in
eoatormit~ with Settion 222.1T. florida Statulee. ~ - .
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~ I wu t~crlY ~ kgal resident ot ~.d~'1~ _ ~ aad I
? . ~qtr) I~taal
residad at --'L ~ _ However. I bavs cbanged cr~r doaaieile to
(St:wt asd N~eaM~1 1 . ~
and am sad hsve beea a boaa Gde eeside~t ot the State ot Florida sinee ~ ~ ~r ~
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% 19~. and I reside at !~~Jr--~ ~ • ~
' - tsw.~..a H~e.r~
, ST . L l1C I E Cou~tr.
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~ad this statement is to be taken as mp dec4ratioa ot citiuaship. actual kgal resideaee aad domicIk in the State of Florida.
If PGR YHE PURPOSE OF ENROLLiNG if fOR HO?IES7EAD PURPOSES~
~ GHIL~REN IN SCHOOL~ PIEASE STATE PLEASE CHEGK: ~
THE IR NAFtES: - . . -
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F~«~ xhC F=CUisDEO
ST ~uc,~ couMrr
Rd~ch r ~tTR~s lA. ~
ClERR n.•WT CQURt
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an~ ro 39 ak 'T6
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i I F'URTHER CERTIFY that I w~71 register at my loeal address when the registration books reopen, and aumplp with a!1
other requirements of a legsl resident of this State.
I I FURTH CERT that I have ao intenlion to return to my tocmer domecile. and I intend to remsin in
~ ~~ir ~ ~ ST. LUC 1 E _Couaty.
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i Florida. permaneati; . -
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Sxorn tokq~e;ll?scribed befote me this ~ day o[ ~
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a.n. ~9 ~O. c~G~
ROGER 01 TRAS,L CLEf2K OF C IRCUI i GOt~2T ~
ST. Ll1C I E COUNTY, f ~OR 1 UA
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