HomeMy WebLinkAbout0798 ' Dectaration of [~omiciie and C~tiienshi '
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TO TNE CI.EAK OF THE CIRCUIT COURT, 356353
_ ST. lUC 1 E ap~y, ~,p~p~:
• TAL L ta~r deelantion ot Do~nicile aod Cit~suahtp IA tl~ Stat~ o~ ~lodda tAat I am Slit~ tbis da,~r ia ae~o[daase. and W
eot~totmjty w1tA Seetion 222.1T, Florids Statutes.
I was f rlr a kgal r~sideat ot _s,~~l~m '
aad I
. l (8tat~!
resided a . HorrMrer, I havs ehanged mr domicils to
1 asd Nno~
and am and have beea a boaa fde resideat ottbe State otFtoeida aia~e ~ ~
` 1!_,. and I raside at ' •
Y'./e!°G , -~/~Ct ` , ST. LUG I E~~~~
councy. ~7oria..
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~ snd this statement is to be taken u declaratdoa ot dt~se !
~U? naAip. aetwl le~ssl residenee ud domiab in the 34te ot Fbrida.
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Ii FOR THE PlJRPOSE OF ENROlLlHG If FOR HOMESTEAO PURPOSES~ ;
CNI~DREN IN SCNOO~~ PLEASE STATE • PLEASE CHECK: ~
THEIR NAMES: 4
J~~~~~~ ~ m~ ~
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~ • f~LED AMp RECOROCG ~
aT.IUCIE CODNTr FLA. ~
CIERK C RCUIT C UR7 ~ ~
RECORD VERfF1E0.,~.~1 ~
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I FURTHEB CEBTIFY thst I wili ngister at my loca) address w+hen the registntion booics reopen. and cumplp ~vith all _ ~
other requirementa ot a kgal resideot ot this State.
- ~
I ~ CERTIF`Y ~t~
t I have no inteation to return to m former doraicik. aad I iatend to remain iu i
NYG ~ T'~L~ _ ~T . L U C 1 E . County. i
(Cit~l . .
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Fbrida. permsnentl; . i
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A'~~b!'d bCfOfE Irie thi! 0( (.J '
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~4G~R P01 TRAS?CLERK OF C IRCUt T C01~2T . -
ST. LUGlE COUNTY, FlOR1DA • ~
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BYs • ~
PuTY ~Eax
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. ACO Form 71 22