HomeMy WebLinkAbout0158 ~ Declaration of Domici~e and Citiz~nship
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TO T1~E CI.ERK OF THE CIRCUIT COUAT. ' J~1.~r~ .
ST. lUC t E ap~, FtAtuDA:
b~+ti dMte~tic~n ot Domkils and Cttisewhtp ia tM State ot Fbrlda that I am filtns tlits dy? in aecocdance. ~nd 1n
eonformity with Section 222.iT. Ftorida Statate~.
I w~a fo~ a kgal resident ot ~"~C~G iti' r a fr~io uod I ~
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raaided at ~ D 7S f~i9.yL ~.7- 77,~ ~v~~ - No~vevet. I bave changed m~r domic~e to ;
(8tn~t a~A Nue~~l • j
and am and h~ve D~en a botu fide resideat ot tbe State ot Fiocida sincs Th'~' 7'~ dy ot i
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7~E C3 ~ h/_3 ~ 19:Z,l~. and I caside at .,1'`~~5// -S. E'- .,c3E~.v.9 l~0 7~.¢ .e ~9L' c-- - i
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f~ .e7 sT G~r,~- ~ sT. ~ Luc ~ e ca,n~,?, Fto,;a,, ~
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ar.d ihis statem~eat is to be Wcen u~y declantion ot dtiunsliip, aetual kgst nsidcnee aod domieib in the Stat,e ot Florida. '
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If POR THE PURPOSE OP ENROLLiNG IP POR HOMESTEAD PURPOSES~
CNII~REN IN SCHOOL~ P~EASE STATE P~EASE CHECK:
THEIR NAMES: , " ,
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F~ 0 AN4 AECOQ `
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CIERK CIRGUIT COif11( r
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I FURTHER CERTIFY that I~ril) ngisier at my locsl addra~ whea lbe registratioa books r~eopen, and eornplr w?it6 all ;
other requirements ot a iegal resident of this State. ~
I FURTNF.R CETtTIF'Y that 1 have no intention to return to mr lorn~er domiale. and I intend to remaia in #
. .e'T S T. t~~Y_' , ST . L UC 1 E County. ~
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Fbrids. permancnt)j. ~ r
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Sworn to and subxrFFicd betore me thLs day o[ tf/~T -S7
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~ .L~ r , A.D.19 76 - _
.RQGER P01 TRAS,_CLERK OF C IRCUI T COl~2T
~ST. LUCIE COUNTY, fLOR1UA ;
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