HomeMy WebLinkAbout0933 ~ Deciaration of L~omici~~ and Citiz~a~shi
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TO THE CLERK OF THE CIRCUlT COURT. ~ ~~1 ~
_ sT. ~uc r e covrrr~r. FI.ORIDA: ~ .
ThLs b m~r dectaration ot Ddmieite aad Gtitisc~.+hip !n tAe Sbte oi Florida tbat I am ping tbia tla,~? ta accordaace, and in
tor?toranity with Section 222.17. Florida Statutes.
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I~ras [ormcrl s lega! t+estdent oi ~ad I
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~t Nowever. I bave elu~aged mp domic7c to
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aad sm and bave be~a a boaa tide naident oi tbe Stste ot Florida since dyr ot
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19~.. u~d I reside at
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~ ST. LUG 1 E Coupty. Florid~,
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a~ LA~S ~ikfA!'0~ ~.t ~O dC Zi~1Cf1 R1y II!'CIiKUOA Ot tltlillWll~. arlual kgat n~sidcnee and domicik in the State o! Florida.
If fOR THE.PURPOSE OF ENROLLING IF POR HOMESTEA~ PURPOSES~
CH1tDREN~IN SCHOOL~ PLEASE STATE Pl.E/1SE CHECK: ~
TH IR NAMES ~
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ERCPO
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CLERK ~t3CUlt CQIMT ~
RECOPfl VER+FIEO
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1 FURTHER CERTIFY that I will register at mr locat addns~ when the registration books reopen, and cowpir with all
other requirements ot a legat tesident ot this State.
I _E,!Z CERTI ~ thst j have no intention to retarn to my former domieile. and I intcnd to remain in
, ~ - a ~1 . ST . L U C ! E County.
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Florida. permanen~l; .
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Sworn to and subserlhcd betorc me thb day ot ~
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.~CJ lJ P~'n n h, , A.D. l9_ 7 fi
_130GER Ppl TRAS, CIERK OF C IRCUI T COU2T
-"ST. LUG 1 E COUNTY, f LOR 1 UA • .
BY:
EP LERK
: BOOK~bO PAGE• i~~7