HomeMy WebLinkAbout0001 Declaratinn of Domicile and Citizenship~4~198`~
TO TIIF. C1.ERK OF TiIE C1ItCU1T COURT.
ST, LUG 1 E Cput~t'z'~r~ FLORIDA:
Tus b my declaratioa ot I)omicih ~~d CitisensAip in tM State o( F'lorida thal 1 am [ilin~ tbis d~r ia ~ctord~acs. aad ie
pa(oranity witA Srctiua w2.~7. t`lotida St~t~tes.
1 wa~ t nKr~ a k~,l ns+denc o1 l c` ~ t f~'LC _ lli
~•'t a~d 1 .
. tMa~~l
resided at y9 //ifl A~T ~~l/~ ~'L fD, i~ N. ~/1~_ Ho~?tvtr. l lu~w el~an~ed my domicik to
{i~rMl ~ Nr.bt1
se~d am aad A~~~ been ~ boe~s Cde naideat o( tlk Stat~ ol Florida ~inn 7~i da~r d
19__. and 1~sid~ at /C ~~~,i~/'/c' ~ G' ~
~s I~trMt wi N~?1 '
fr c~: ( c" y/~u ~d L~.. _ ST . L UC I E Cow~cy. Ftoriaa.
tA~71 .
aed tAis sl~lemeat is to be taken a~ my dedaratioa ol citiunstup. ~etuai ic~a! res~dence aAd dorniciie in tM State ot Fiorida.
Ii' ~OR TH[ rURPOS[ Of [NROIIING Ii ~OR HOMESTEAO PURPOS[5~
CMIIOREN IH SCNOOI~ ~IEASE STATE ?IEAS[ CHECK: ~
tH[iR NAMES: ~
f'~111~/?.': A l~ i
titi, C~ ~ ~ ~
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~}~rItT11f:R CE:RTIE'1' thsl 1 wdi rc~i~tcr at mr local ~?Adr~s~ rvhen thc r~~stration books rcopcn, and complr writA all
oti?er rcquircments ot a kkat res?dc~t ut th~~ ~t~te.
1 PUItTIiF':t CE:ItTI, that f havc no iMcntion to rcwrn to my tormcr domicik, and 1 intcnd to rcma~n in
I ~ ~ /t ~ G~ ~ ST ~~U C 1 [ . Couutr.
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