HomeMy WebLinkAbout0876 Declaration of ~ Domicile-and Citizenshi
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TO THE CLEI;R OF THE CIRCUIT COl1RT. a~a.r~Oi3
ST. LUC 1 E ~pv~y. ~,p~pA:
• TAb V mp daeluatba ot Doaicile and Citiseaship in th~ Stat~ ot I~'lorida that i am 8~to~ thts dq in aeoofdanos. and ia .
eontcen~itr with s«cion 222.17, E'lorida stacuce~.
I was io~
e~ a legal c+esideat ot ____,__~~E D D ~ ~ I
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rssided ai _ d~.5 /v ~Dir.CL9 u/ S T v/~ Q7o? 3 Ho~ver. I have changed asr domicile to ~
l&eNt aod Nomatl ~ . ~
aad am aad have beeA a boaa Gde resideat ot the State ot I~'lorida siaoe /°~~~?S 7 7 ~y ~ _ `
o?.S 19 aad I resids at _~1006 LL~vo~••v~ ~vG-`
f t ~c2 c'~' y ST. LUG I E~~N~~~ x
Councr.I~'lorida. ;
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iD~ ~Ills iti~lQlQaZ L`O bQ LiI[tll if f1~ dltlti~L10A Ot CltlilAllllp. aetual kgal residenee aed domieile jn tbe State of Florida. ;
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IF fOR THE PURPOSE OF ENROIIING If i0R HOMESTEAO PURPOSES~ ~
CHIIOREN IN SCHOOt~ PIEASE STATE PLEASE CHECKS !
THEIR NAMESt ~ ;
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f~LEO ANO_ ~E~RDEL
R00 A IOITAAt lA.
OLtRK lltCiifT COl1R1
RECOAp yEA~~~lO i
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I FURTHER CERTIF~f thst I~?ill register at my bcsl addres.+ whea the registntion books reopea. and eomply writh aU -
otber requirements o[ a kgaf resident ot this Stste.
I FURTHE~ CER~ thit I luve ao iateation to nturn to w former domieile, and I inteAd to remain ia
• / c'c - ~T . L u C 1 E . Count .
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Florida, permaneoci; . -
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S to and auMcn'bed be[ore me this ~ dar ot ~Z~ /~"i L'~ ~C ~~•s~
A.D.19L -
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~ R ER AS C ERK OF C IRCUI T COl~2T
ST. LUCIE COUNTY, FLORIOA •
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uYY LERK
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