HomeMy WebLinkAbout0174 Declaration of Domicile and Citizenship
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TO 7'HC CI.ERK OF THE CIRCUIT COURT.
ST. LUC i E ap~. ~,p~~:
1'his b eq~r d~elantba o~ Domkib aad Cit(~saship ta tAs 8tat~ ot F1orWa tbat I am 81~ thb dqr ia ~eoordana. and in
eontocmier with seetion 222.17, F~orida Seawl~s.
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1 wa~ torme 1 a kast nsid~at o~ ,~'A /4 F,9aC C'~ a.~c ~'Y , 1//irt !/.4'!~ - aad I :
1~f Ist~eN ~
nsjded st 7~Y / FL.L~'~i
~1/~ o.n .o - How~~~r. I baw elun~sd a~? domia~ to
I~Mt ~d NoMR! i
aad ana aad hav~ beea a boaa tjd~ resid~at ot tM Stat~ otFSocjda aiaee O 7?"r~ .l
~.~7 daJ? a~
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T.q.v .w~ si ,1~~2, and 1 r~sW~ at /~l ~ L ies y ~AV D~ u% ~ T yf
1 rdN ~a
ST. LUG I E
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~ LII~! i~i~lRllN~ t0 ~~Oil i~ 1!~ ~CIi~iLjOD O~ l~UZftlf~~ iC~ll~ ~i~ Tl~eMf iOd d0l~! ~II ~.~i~! Ot ~0l~a.
Ii fOR THE ~UR~OSE Of ENROLIING Ii iOR HOMESTEAD PURPOSES~
CHIIOREN IN SCHOOL~ rLEASE STATE ~LEASE CHECKS ~
TM[IR NAMESS
fIlEO AND REgORDED'
:T. WCIE COUNTY f~A.
ROCER POITRAS
CLERK CIRCUIT COURT
RECORC YERIFIED~~
MAR ~ i i i~ aN ~7~
- 35993$
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I! I FIJRTHER CERTIFY tlut I ~n71 regiater ~t mr local address whea the ngistratiou bodcs reopen, and eomptp w~ith ap
~ otber requirements of a kgal raident ot t6i~ S4ta.
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~ I FURTHER CEItTIFY tbat I have ao iatentioa to return to my tormer domie~7e. and I intend to remain ia
S T. l U C 1 E . Couaty.
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Florida. permaneaci; .
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Sworn to and subaen'b~d befon me this day ot -
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l~ . A.D.1917 - ;
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R0..~2 P01 ~fi'~~~ CLERK OF C IRGUI T COI~tT ~
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S~'~; 'k11~~:t E+~ COUNTY, F ~oR 1 UA ~ ;
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BY s '
P u T Y e a K ~~j 4AGE _
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AGO Form 71 ?.2