HomeMy WebLinkAbout0718 Declaration of Domicile and Citizenshi
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36C287
TO THE CLERK OF THE CIRCUtT COURT.
ST. LUC 1 E ~pvNTy, FT,pRIDA:
Thia b my declaratioe of Domicila and Citizen~hip in the State ot F{orida that I am Cd't~s thfs day in acaordaAes, and in
eon[ormity with Section 222.1T, Florida Statutei.
1 was to~rl~ a kgal naident oI ~/'~~~1 P!~- ~ I
~ ~c y~ 3 ~cu,? is~.e.?
resided at . Howevee. I have eAanged my domieila to
19tn~t ~ed Numb~rl
and am and have been a bona C~de reaident of the State ot Florida ~ince ~ b~~ dar ot
, 19~,.
Z. aad I r~eside at f.lo~ ~/g lZ.4 i1/~.( /4
~sd NumA~l
IQ `..1 C C ~ ST. lUG I E Count~. Fbrida,
tcu~?
and this statemeat u to bs taken as my declaratioa ot eitizenship. actud legal reaideace aad domie~e in the State ot Florida.
IF POR THE PURPOSE OP ENROILING Ii FOR HOMESTEAO PURPOSES~
CHILOREN IN SCHOOI~ P~EASE STATE PLEASE CHECKL ~
THEIR MAMES2
360~g~
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6l R1~~ ~~~jj~
0 AT
RECdRr~ y Rl l~~ G y
l~.:~ !s II 4~ qH•~~ .
I FURTHER CERTIFY that I w~ill rcgister at my local addres~ ~rhen the registration books nopen. and comply with aU
other requiremenb ot a legal re~ident ot this State.
~ I FURTHE~ CERTIFY that I have no intcntion to return to my former domicile, and I intend to remain in
~e f Sf-- uc _ S T. L u t I E County.
~ ~
€ Florida. permanenci, .
~
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~ • ~ ~ ~ " V~7_ fi ~.~1 ~fn
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~ , ~ ~.~.e.4 ~v-~~? ~A--~ n_ 2~ Ll
r ' IN~m~) ~
; 33ySz
~ Sworn to and ~ubscrit?ed be(ore me this dsy ot
x
~ '
; . A.D. 1917
1
~ ROGER P01 TRAS. CIERK OF C IRCUI T COU2T .
~ -
~
~ ST. Ll1CIE COUNTY, FLORIUA
~ BY: ~ .
~ EP~TY l RK
~
7
F'~ i 2~lhJ f,1(~E ~12
~ AG(1 Form 71 '`2