HomeMy WebLinkAbout0258 ' t3~~~aratio~ o~ C~om~cil~ and Citiz~nship ,
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~ 35'796~C ~
TO Ttl6 CLERK OF TtiE CIRCUIT OOUR1'~ . '
~ ST. lUC ! E ~,,,~CpUNTy. FI,pRIDAs .
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Thls ta ~ny decl~ratton ot Domieile and Citisoa~hip ta the St~te ot Fbrida tbat I aaa ping thts dqr Ea aeeordanes. and in
eoalotmitr witA Se~ction 2~.1T. Florid~ Statutes.
• I wa~ iocmerl R kgd ns~deat d~~,~ ~ ~ 1 .
resiaed ac - ~~,~j~._.. ~1~~ Nawrovar. i t~ve elu~aged mr domtene co
lstra+t aed N ' ~
aad am and have beea ~ Dona ~de residcnt ot the State ot Fbrida ~inee 1~ day ot !
~ ~~C.- l9yr~ - and I reslde st ~ ~ •
IStr..c ~ad Nde~berl £
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1C ~ ST. I.UG 1 E Couaty. Florida,
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" and t6is statement is b bo taken u my dcc4ration oI dtlun~6ip~ aetud kgal rssidence and doatieile Ia ths Stato of Fbrida. t
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If POR TliE,_PURPOSE OF ENROLLING Ii i0R HOMESTEAD PURPOSES~
tHIIDREk IN SCHOOI.s PLEASE STATE ~ PLEASE CHECK:
THElR HAMESS 1... ~ ~
f LED ANO ltECpROEO ~
, =~.I.tIC1E C4UNTY ftA.
CLENK~ClBCqn COUAT
RECORO YERIFIED..~;..~.~~G~~
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. 35'796~
I FURT}iER CERTIFY that I w~7! register at my local addres~ when the registntion books teopen. and comply with a(1
other requircmer?b oi a legal resident oE this Sirte. _
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I FURTHE;i CERTIf~'Y th~t I have no intt a to return to my former domicile. and I intend to remaia ia ~
' ~~',~~C ~ _ ST. LUC 1 E ~County,
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Fbrida, perwartenci; . -
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Sv?orn to und suhsctibed before me this etay ot ti~%L-~~~!~Y~~~" ~!(,d~...~..s..~~~~
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• A.D.19~r - ~
ROGER P01 TRAS, CI.ERK OF C IRGUI T C4l~tT . ~
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ST. LUC I E COUNTY, f lOR 1,UA • ~
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_ R~4, 2~4 ~c~ 257
EPUT 1.ERK •
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