HomeMy WebLinkAbout0462 Dect~ration of Dornicile and Citizenship
TO 7'11~ CI.ERK 0~ Tl l~ C1RCUIT COURT. ' 3~~~~
ST. lUC I E opt~rr. E'1,pRIDA:
T1~ If m~ deelaration o! I~aicib and Citlt~~sbip in tM Stat~ ol F'lorida tl~at 1~m tilint tAb dq le ~ecotd~~cs. ~~d i~
aatormity witA Saction ~2.1T, Flonda Stat~eus.
! w~ 1~ ~ ktal rESid~M ol ~ ~ =it : . ~ i - ~ - _ r , ~ ~ L ~ ~ .
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twided ~t 1'_,t 1 Yt c• t ~ ~ ~ t, ~ _ - Hoa~~~r. I baw cAan~ed mp domicik to
1itnM r/ 1~1
ud a,a u+d Aav. eeen. t~a Cd~ resident o~ cM stat~ ot Fiorida siAa . day ot
~l . If.~.~... ~ad 1 r~sid~ d ~ , ~ ` ~~~nK.r~ N..M~I V c~
u-}- t. L~ ~ _ ST . l UC 1 E couoty. Florie•.
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ud tAis sutemeat b to be ialcea as mr deelaratiod ot eit~easAip, ~rluai k`al ~+eside~ and domi~;iir a tb~ St~te oi ~'lorids.
I~ POR THE ~UR/0S[ OF ENROII iNG Ir fOR MOMEST[AO PURPOSES~
CHIIORiN !N SCli00l~ P~EAS[ STATE I~EAS[ CM~CK: ~
THEIR NAMESS
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I 1'l1IIT11ER CFRTIF'Y tMt 1 wr~ll rcg;st~r st mr beal ~ddres~ wrAee the re~istration books reoQen, and complr with aU
olher requircrtsents o( a kRal res~dent of this State.
1_~UItTlI~:t C~RTIFY tAat I have no intrntion to return to m former domicik. •nd I intend to rcmaio in
1~• i ~ < 1~_ , V C 1 E . County.
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Fbrida, pcrmanenti, . '
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Sworn to ~nd subxribcd bcloro mc this _ d~r ol ~ >
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C,LERK nF~ C lRCUt T COU~2T ~
ROGFR P 1'RAS, _
ST. LUC I E COl1NTY, F 1.0~t t t)A
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