HomeMy WebLinkAbout0158 Deciaration of Domicile and Citizenship ~
TO TIIF CLERK Of TI IE CTitCU1T COURT, i;. ~~~1J f'
ST. lUG 1 E pput~rt~t. F'[,pIt1DA:
91~is 1~ stp decla~atioo d tlomicik ~nd Cit4enship i~ tM Stat~ ot Florida lba! 1 am filinj tAb dap la attotdaec~, and fa
oodormitr ~?itA Sectioa ~.1T. F londa St~tutes.
1 wv t~ a kial rsaid~at ot `1 tC'~i.~c.. ~ ~ ~wd 1
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~tsided at 'Y %l 1N~+; ic r~s C Au ti~ . How~et. t Aaw eAan~ed mr domicik to
t~tr..~..~ N..w.? f~
a~d ua ~nd Aar~ be~a a boea Cd~ tesident ot tbi Sta1t ot Fiorida siae~ l~ ~7 ~
u~ t .19 ,1 G. aod I reside at 1? S ~ ~n~ i t T
. {atn~t H~wt!
~ o..~ v~ 1 a P~~ ~ ST . lUG i E Couoty. Florid..
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aad /bfs stattment b to be takea a~ my decluati~a o( citizeaaAip. aetua! kaa! tesidence and doraicik ia the State oi Florida.
I~ ~OR THE PUR?OS[ OP ENROLtING IP iOR HOMESTEA~ PURPOSES~
CHILDR[N IN SCMOOI~ PIEASE STATE rl[AS[ CNECKi ~
tM[ IR NAMESS
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l Pl11tTHE:R CERTIF'Y that 1 will n~~itt~r at mr tocal addre~s wAen tne re~stration books reopen, and complr rvith ~11
oli?er ~rqui~cmrnta v( a k~al res~dcnt of this State.
1 FUI{T}lk~Z CE:ItTIFY tbat 1 Mvc no intrntion to rccurn to mr fo~mrr domrc~k, and 1 inirnd to rcm~m in
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~.J E . County.
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~GER Pnl __/?S,~CI,ERK llf C IRCUI T COIftT
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~ ST. I.LJCIE COUNTY, FLOf<1Ul~
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