HomeMy WebLinkAbout0114 ~Declaratio~ of t~omicilc~ and Ci~i~~nshi
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TO T~I~ CLERK OF THE CIRCUIT COURT.
sT. ~uc ~ e oovrrr~r. ~.o~cn~:
~t~ 1. ~w~ ~iwrti~atlnn et Domitik and CiititeaabiD IA th~ Stato ot Flotjda ibat I am filtu~ this dq ia seooedante, and ir~
conlormitr ~rith Scctioa 222.17. Fforida stacutes. -
I wiu t~ a kgal n~at o! - . L - ~nd I •
lGy?i tswd ~ ;
resided at Ho~raver. I ve ehanged aa~r domicile to ~
tBt++K a~d N • ;
add am aad Aave beeo a boaa tide resident otthe State ot Florida since da~? of ~
- -~9.~G:.(.e. aad I reside a! ~ '
~ tStr~~t ud Nm.ser) `
~~:t~-P~ ~.~5-%~~--~ ~ ST. lUC 1 E Couney. Fiorida. i
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ilf~ f~LCipCR~ ~S ~O bQ ~l11 1D~ 1~!'tLf~LiOil Ot tItIZlAlIIIp. ~dual kgal residcnee and domieile ia the St~te of Fbrida. ;
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If FOR THE PURPOSE OP ENROLIING Ii' ~OR NOMESTEAD PURPOSES~ ~
CHtIOREN IN SCHOOL~ PLEASE STATE P~,EASE CHECKt ~ ~
THEIR N MESS
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f~jtf0 AND RECORpEO ~
ST WCtE COUNTI' Ft,t,
pOGER AOITq~S i
RE ORf YERIF Fp COURT '
iv i1 ~ ~M'T6
- - 352~ t2
I FURTHER CERTIFY that I wi~t register at my local address when tAe registratioa boo~s nopen. and eamp)j? witb aA
other requirements ot a tegal resident of this Stste.
I C RTIFY~d~, I have_,~6~m'tention to return to my totaxr domieile, aad I iatend to nmain in
t~~ _~,c'~'a" ~ ~o2~.~c.r a ~ ST ~ L u C I E ~ County.
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Florida. permaneati~ . .
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Swoi»;tcrarid wbxribed~c~reine this day of -
' ~ A.D.l9 76 -
GE~t~~~ ERK Of C IRCUI T COUZT
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"ST. Lfil~:l ~:-.!G~lNTY, f LOR 1 UA •
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EP Y LERK
; s°o$~~3 ~.14
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