HomeMy WebLinkAbout0327 ~ ~
~~clar~tion of Damicile and Ci#iz~nship
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TO THE CLERK OF THE C1RCUIT COURT.
, ST. LUC I E apUNTY. FiARIDA:
TUi.s is m~r dec4ration oi DomiciM and Cilizenship ia the State ot Florida that I ~na Glina this day iA aowcdanee. ~nd tn
eontonaity with Sectiua 7,~2.17. Florida Statutes.
I was formerl s kgal resident ot ~ ~ I
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resided st ~"`l¢I 1'~ Ru Ot1~~ 0 L-l~ A~ . Ho~revor. I bavo~~snged aqr danieils to
(StrNt nd Nws •
and am and have beea a boaa Gde resideat o~ the State ot Florida suke ~ daJ? o~ ~
_=.19~. snd I reside at ~ ~~?1J iA- ~AN~ •
l8te+~t ~ad iVrobKl
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and this statemea~ is to be talcen as my declaration of eitiunship. aetual legal reaidenee and domie~e ia tbs Stab ot F'lorida.
IF POR THE PURPOSE OF ENROLLING ~ IF fOR HONESTEAO PURPOSES~
CHILDREN IN S~HOOL~ PLEASE S7ATE PLEASE CHECK: ~
THEIR NAMESS - y~-
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I FURTHE:R CERTIF'Y that I will register st my local address whea the regist~tian booi~s reo~~en. and ooun~?ty .vith aU
other requirements oi a legal resedent of this State.
j I FU iE CE t I have Qo intention to return to my former domicile. and 1 intend to remain in '
r ~ ~ ST L UC 1 E ~ . County.
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Florida. permanentii• ~ ST LL'C:~ ~~tlN7Y F~A_
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Swnrn tp~tjd~suwse ; d betore me this ~J ~ day of ~ 3
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I A.D.19
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ROGER P61 TRAS, Cl.ERK OF' C IRGUt T COl~2T ~ ~
ST. LUCtE COUNTY, F~C~ttUA
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FPUTY FK
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