HomeMy WebLinkAbout0893 Declaration of Domicile and Citizenship , ~
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TO THE CLERK OF THE CIACUIT COURT. ~3'~~ ~ 7
sr, -l.uc ~ e covrrr~r. ~[.o~un~:
Thls is aqr dcclaeatioa o[ Domicib aad Giti:eaship ia ths 5tste ot Florida that I an fiW~g this d~r ia aeeadanee. and jn
conrormiey wieh 5eceion 222.17, Fbrida Satutes.
~ I was to~rmA._r~l a kgal resideat ot _ ~I~ R~ N ~ N Q 1/~N ~ I .
saa ~ c~RRo~,~ s
resia~a .c A r. x4..e~er, t b.,?e ~haag~a m,? a«~ic1e iO
l8tn~t ~sd N~b~t) ~ .
aad un aAd bavs been s boaa fide resideat ot the State of Florida siace I~~_
Q'~v``~`' .
.;,19 aAd I reside at 7~~ 0 s~ ~vT/'F R~~' 1"~ Q~'C y'
~ (Stewt ad Nw~~l
T°, P/ E~i G'~ ~ ST . L UG I E Connty. Florids.
ccw) _
illd Ul1.S Sti~EIflCpt ~S ~O ~6 ~!O iS R1~? dBCIiTiL~0/1 O~ CI~iZBl1.7I1~1. utud iegal residenoa ~d donnie~7e ia t6e Stats at Florida.
IP FOR TkE Pt1RPOSE OF ENROILING IP fOR HONESTEAD pURPOSES~
CHILDREN IN SCHOOI~ P~EASE STATE PI.EASE CHECKS ~
THEIR NANESS . ~
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1 I~'URT~~ER CERTIF'Y that I w~t register at my local address Rrhen the registniion books reopcn, aa~ coanply w~ith all
olber requircments of a lega! resident of tt~is State.
I FURTHE~ CERTIFY thst I have no intention to return to my fora~er domicik. and I intead to reauia ia
- _ P1~'Rc~' ST. LuciE
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Florida. permanea~i;. ~ f J.~O ~~fCUknED
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Sworn to and subxribcd betore me this day of ~ r• 1' ~~Je ~ F ,~,_,~L O~ 1!~ 7~
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. A.D.19
7~ _ ~ 37i
ROGER i Ti2AS, GLERK QF C 1 RGU I T COt~2T ~
ST. LUGIE COUNTY, FL~'21UA . ~
BY: ~
EPUTY ERK
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~ ~ r i z51 PACf Lh7l..
Ar{~ Porrm 71
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