HomeMy WebLinkAbout0849 Deciaration of Domicile and Citizer~ship
Ton~ c~nx orr~,~ ciacvir count. :;•~'~t ~~i
ST. LUC 1 E ap~. ~,p~~:
!'lii~ i~ aq? deeluatio~ 01 Do~aic~M uid Citis~~sAip ia tM Stat~ of Florida tliat 1 aa~ Wia~ th~s da~ ia ~eeorda~cs. aud ia
a~iK~it~ ~it~ Sectio~ 222.1T~ Florid~ Statw~s.
1 w?a~ i~? a le~a! ns~dsat a~ t,,, . r,! _ ~i'~c uA ~d t
ewid~d at ,L~(~/-~G- i4'.~~~~,._, ..i%~. //',,T',,,~ , i Raw eRan~ee my e~nucile w
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ud sw aad haw bNS ~ bona Cd~ rrsident ot tt~t StaN ot Flor~da ~ 4y a/
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S~ asa I naid~ st S -01- ~ .v _
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fy f~~ 4 _ ST . L lJG i E Couacr. Flor;e..
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ud tAb statta~ent u to pe ?ak~e as a~y dect~ratioa ol atiuasai~. ~rtual le~~l residene~ aad don~ieile ia tM Sute oi Florida.
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i~ ~OR TH[ ~UR?OS[ OF ENROIIlNG I~ ~OR NOMESTEAO PURlOSES~ ,
CMiICR[N IN SCMOOIi PL[ASC STAT[ tl[A3[ CMECK: ~
TMtIR NAM[S:
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?~tEb ~t• :h~ED .
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1 FURTIIE:R CE:RTIFY that 1 wJl re~ster at mr bcal addres~ wAen the ngut~ation books reopen, and complr w~tA ~11
otAer nquirements ot a kgal res~dent of th~s 5tate.
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; l FUKTNEZ CEKTIf Y that 1 have ~no ~ntrntion to rtturn to m formcr domic~le, and 1 mte~d W rctna~n ~n
; ~`T•.1_',~~•~t- ~T. Lu~ ~ E Cou~ty.
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~ Sworn to aed subscril,ed br(oro rt~ this ~ d,r ot f~~ t" f/.~?
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F ~ER P01 TRAS, C~.ERK Of C IRCUI T COU2T _
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~ ST. LUCIE COUNTY, FLORIUA
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