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HomeMy WebLinkAbout0759 Declaration of Domicile and Citizenship Tl[~ CL.ERIC OF T1lB CIRCUR OOUR7. ST. l UC 1 E pp~. f't,pRIDA: ~r r.~r eK~.~~ ~r n~u.:na ci«...?y ~ ci» s~.~..r ~;a. u~ t..~ w~ ua. ey x~.ra.,~.. ..a ...~.r.~ty ..ctl~ s«~io~ r2z. Fb~d. s~.t~rw.. - t~ ~ ~ ' ..a ~ t.... . ~.~a.~.t t _ f - - . 1'~ ~ ~ . . ~ ~av~ w.w »~iii~d at / 1l 1 ~ ~ ~ _ 1 ~ _ ~ - - H~+?K. i !sw el~s~d mp daoiciM te tMn~ W N.r.~! ~ a~1 a~ ~ad i~aw beN a bona Cd~ nsideot ot tM Stat~ el F{or~da siae~ ~ of ~ i~~l... and t ~.t ~ ~i ~1 i~ ~.1 f ~ ~ ~..~..r r+..~ ` ~r _ ct ~ . _ _ ST. lUC I E ~r, F1o~e.. ~ a~d tl~is acateaKac is to be tak~a u wy decl.ratia o~ eici~nsAip. ~etualle`a! resid.ec~ aed daeu~ciM ia :1» &ace ot E'Iorid~. If t0~ TM[ ~UR~OS[ O/ [MROIIIMG I~ ~OR NONEST[AO PUR?OSES~ CMIIOREN IN SCNOOI~ ?LEASE sTATE ?ltAS[ CNECK: ~ tNtIR M~wts: 1 , s , 1~ t ' ~S ..~f~i':: j jl ZVt i~ . J+ ~ ~.-,At1 <<A ~ . '~.S ~ - . ' ~~k~ ~ 1~ 15o PM b # ~ J PtJRT11E:R CERTIF~' that 1 wJl rr~~ter at mr iocai add:ess ~rhen the ~c~:tratan books rcopen, u~d compir with all otl~sr n+quiremcnls o( a kgai res~dent ot th~s 5tate. 1 FU~ 1EZ GERTit'Y ttut 1 Aave no ~ntcntan to retura to mj tormcr dom~c~k, swd 1 intend l0 MTiIA in 1'L,.f ~ ~ _ . , ST. ~.UC 1[ Countx. IGI~I ~ t'{orida. pc~maneeti, . ' ~ , ~ i r ~ ~ - . ij ~ / . g / t t Y J} ~ 'T ~ ~.'-...L L~'~ / I ~~l ~ l: ~ ` t ~ ~ ~ ~ . . ~ t { ~t ~ ~ L € ,'rr• ~ u t. l - - ~ , f ' 1 ~ 1~ L' 1„ti„~„ ~J C l ~i' i i ' ~ 1 t, F ' • ~ !l1~1 ; ' ,'~i ~ ` `j . ,i L ~ ~ S ' 'i ' , :1 IAMnwI ~ , / ) Sworn lo ~nd subxribrd brforo mc th~ ~ d.y ot . } ~ ~ 1 _c. , t I ~r'. - ~ ~ ' a ~„1_ ~ - ~ '1 - . A.n.19 76 ~ ~ ~ER F'OITRAS, CLERK OF' CIRCUIT COt~2T ~ c ~ ST. LUGIE COUNTY, FLOf21UA ~ ' ~ ° r 8Y> > , , 1 , , ~ ~ UTY l[RK ' !"i `~~1 ~ 2 ~ 1 lj ~ ~ • ~ ~ - _ _ _ . _ _ :