HomeMy WebLinkAbout0371 Qect~ratio~ of Dc~~nici~~: ~~d Ci~~z~~~hip ~ ~
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TO TlIE CI.ERK OF TIIE CIRCUIT COURT.
ST_ L l1C I E CnUNTY. FI,ORIDA:
' This is my dcclaration ot Domicile ~nd Citisenship in /he SUte o~ Florida tlu~! I am CJ~ag this dar IA aecordance. R~d in
eontormity with Scction 222.17. Fiorida Statutea. ~
I wu torm~rl a kgal resident ot ~ I •
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tesided at ' Howcver. I bave changed my domicile to
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and am and h~?ve been a bona rde naident ot the State ot Florida since
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~ 19..,G._~ aad 1 ns~de at ~
~ ~ (8trMt ~nd Numberl
~ ST. LUC 1 E Count~.Fbrida.
(Ck71
and this statement is to bc taken a~ my declarat~on of eitiun~hip. aetual kgal resideneo and domie~e in the Stato ot Ftorida.
I~ FOR THE PURPOSE OF ENROLIING If fOR HOHESTEAD PURP~SES~
CHiLDREN IN StHOOL~ PLEASE STATE PLEASE CHECK: ~
tHEiR NANESS
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~ I FURTIiER CERTIFY that I wip rcp,ister at my lceal address when the registration l~ooks reopen. and comply with a1S
g other rcquirements ot a Iegal residec~l of IhisState.
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1^~EZ C Il~'Y t6at I have no intc:ntion to return to my formcr domicite. and I intend to remain in
if~ fI~ $ T. L U C 1 E , County.
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lCit~l .
Fiorida. permancn~t~ .
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BY:
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~ R 258 ~~~E 36 _
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