HomeMy WebLinkAbout0198 ~ Dectara~ic~ or f~~micil~ and Ci~iz~~s~nip
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`TO TtiE CLERK OF THE CIRCUIT COURT. '
ST. LUC 1 E ,,,"r~~y. ~,pnIDA:
11?b b mr deelantion oI Domicile and Citizenship ~n ti~e St~tp ot Fiortda tbat I am Cilfeg thb dar io aecord~rice. ~ad in
'~~lQiat~tY w?itlt Stt4ic~ 2-~,1T, F'to~eida Statutas. ' r-> ~
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rssided at - ~ ~ ~ Sc? L~~L _ /2 ~ . #
- Horrove~. I lu?ve cbaaged mr doauule to .
esa..e..a N~1 /Cl I ~ :
and a and lu~ve bcea ~ bona C~de reaideat ot tM State ot Fforida sincs day ot '
~v 19?} and I raide at ~ l I r ~V/~.! /~r'~-T,~l~ ~
~ ~ ~'~~'9 ST. LUG I E~~N~~
CouAtr. Florid,,
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and this statemeat is to be takea u my declantJoa ot atiuasbip. aetual kgal rasidene~ ind domicile in ths Staee ot Fiorida.
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Ii iOR THE PURPOSE OF' ENROILING IP fOR HOMEStEA~ PURPOSES~
CHIL~REN IN SCHOOL~ PLEASE STATE PI,EASE CHECK: ~ ~
tHE1R NAMES: ~
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ROCER P~~~f~
CIfRK C~ACWT C0~!
RfCORQ YERIFIEa
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I FURTHER CERTIFY lhat I ~rill register at my Ioea1 address w6en the registntion books reopen. snd eompty ~vith a!!
other requirermnts ot a legal resident ot this State.
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ERTI that I have ao intention to nturn to my tormer domieile. and I iniend to remain ia t
_ ~T Y! t-`7~~ .e ST . L u c i E ~ co~acy.
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Fbrida. permaneA~~; .
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5worn to tnd substtibed belore me this __.LS~ daY of
- ~C- ,A.D.~9 76 _ .
ROGER P01 TRAS,, CLERK OF C IRCUI T COt~2T
ST. LUCIE COUNTY, FI.ORtUA ~
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EPUTY IERK e~~q
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