HomeMy WebLinkAbout0326 Declaration of Domicile and Citizenship /
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TO THE CLERK OF THB CRtCUIT COURT.
ST. LUC 1 E apU~y. pq,p~pA:
Thb b my dteluation ot Doa~kik and Citi~easbip ia tM 8tat~ o~ F'{orida that I am SHas thL da,~? ia acco~ds4o~. and iu
eontormicr «ieh S~sciou 222.iT. F'lorida Sacuc~.. ;
I~as tprme r a kaal rsaideat ot I~~R T~D G-~/ c _ aod I ;
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resjded at ~~~~lP~ ~ ~YE Ho~rwes. I l~aw ekaaaed my domie~s to
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aad am ~nd have been a boaa C~ resid~at ot tM State ot Florida si~ ~ ~7 ~
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~~e G- ~ 1~~~ sod I resid~ at ~ 8'~ / ~ T~3s. 4 ~ i
( a~d NraO~N .
-S i. v~+ ~ r= _ ST . L UG 1 E Coune~. F~o~da.
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and thb statemeat is to bs taken as mr dec4ratioa oi at~enship. aetual kgal t~esidenot aod domicils ia t6e 34ts ot Fbrida.
IF fOR THE PURPOSE Oi ENROILING IP FOR NOMESTEAO PVRPOSES~
CHILOREN IN SCNOOI~ PIEASE sTATE 'LEASE tHECK: ~
TMEIR NAMESS
FIIEU ANU RECORUEO
ST.lUC1E COUMT~ F1~1
RGCER PQITRAS
CIERK CIRCUIrt COURT
RECORO YERIFIEO
MaP I~I IZ zs PH'~~
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, I FURTHER CEATIFY that I wrill ngilter at mr loeal address when the registntioa books reopen. and cornply ~rith all
; otber rcquinments ot a kgal resident ot thi~ State.
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~ I FURTHE~ CERTIFY that I have ao inteation to return to my tormer domieile. and I intend to remain ia
S~ L, ~J[z_ ~ ST . L Ut 1 E . CountJ?.
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~ Florida. permanenci;.
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f Sworn to and subsctibed Detor~ t4b iDis day ot
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~ ROGER P01 TRAS. GLERK OF G IRGUI T COl~2T
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~ ST. LUGIE COUNTY, F~ORtUA
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~ BYs .
~ PUTY LERK
~ i r I{ ~ ~~UC 324
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ACn Form 71 2.."
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