HomeMy WebLinkAbout0151 ~
~ Declaratian of Domicite an~d Citiz~nship
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TO TlIE CI.EItK OF THE CIRCUIT COURT. ~ '
ST. LUC 1 E (~OVrtT'Y. FtARTDA: . .
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11b b mp daluatbn ot Doraicik ~?ad Cit~casAip in tbe State ot Fiorjda tbat I ua fi1~6 thts day ta aeoordance. a~d ta
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.t ~ ~L~ e~-~r,,,, o~.,,~T. Fl~ti~~ ~+~~t~~
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I was i~ a kgal resident oi - ~od I ~
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resided at ~c~ Z. o~ . - Ho~rever. I luve ged aqr domicile to
I~t a~d N~olK) • ~
sbd am and have been a boaa fide nsideat ottl~e State oI Florid~ since 3 ~ dy ot
C~ - 19 and I nside d - / _ ~ !-r ~ ~ 4 • ~ f
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csc~..e..a Nw~.e.r?
ST. LUC I E Couoer. ~o~aa ~
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t0a UIIs l~ttOlCA~ L! ~O ~~!A i! O~ Ilctliri~~011 Ot t~tILEMA~Q, aetuat k~ naideace and domfe~le ia tLs State ot Florida.
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If fOR THE PURPOSE Of ENROLLING IP fOR HOMEStE/10 PURPOSES~ i
6HILOREN IN SCHOO~i PLEASE STATE PLEASE CHECK: ~ ?
THEIR NAMESS -
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i~~df'•iE ~MTY ilA.
~1 w i C]~~G~ ~1 ~~C w~_ ~ R4CE!! i0~T1Ua
CLE~I~ CIRCWf ~011Rt~ ~
RECORO YER~FlEb~.....~..~
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1 FUItTHER CERTIFY that I Mrill register at mr iocal address when the ngistntion books nopen. aud oocnptp writb alt
other requirements ot a kgsl raident oi t6is State.
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l FURT'HE~ CERTIFY that I bave no inteation to return to mr totmer domiu'b. aad l intead b remain in
' ST_. L u c ~ e ~ County.
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Florida. permanencl; . . -
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° 76
, . - A.D.19...__.
_R4GER P01 TRAS. CLERK Of C IRCUI T COl~2T -
~ST. LUCIE COUNTY, F~ORiUA
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EP Y LERK i~~~ P~
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