HomeMy WebLinkAbout0164 ' Deci~ration of Domicile ar~d Citizenship ~
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TO THE CLEItK OF THE ClttCUiT CO .
ST. LUG 1 E apUt~'1'~t. Ft,ptttpAs
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Thb b uay dalaratloa ot Domictl~ aad CitiseesAlp tn tM Stats ot Fbrid~ tlut I am filit~ tAis dq is ~ooordance. and ia
toatormitr with 5ectica 222.17. Floe~idi? Stdute~. ~
~ 1 ~ras torme~,~rl a k6a1 twident ot leJ.~t.?~6~v r.~s~v : ~ T~csE y aad I .
ICK71. Istatd
e~ded at . ~-~r .4y 4~' Ho~r~r. I 6ave ehaa~d ay? domicile to
!~~?d Ndab~tl ~ ~,~3'T .
and a~a ae~d bave beep a bona fidc ce~ideat ot the St~te oI Fiorid~ siece - ~r ~
C. ~Z ~E iC .19.ZC , and I resld~ at 3.~ cJE~E~v v~ • r ~vE
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t- o,~ r ~c,cc ~ _ ST. lUC 1 E Councy. F1o~da.
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' aad tAis statemeat Is to be taken as my dee4r~tion ot attr.enahip. aetud kgal naidenee aad aoraieik in ths State ot Florida.
IF POR THE PURPOSE OP ENROLLING IP FOR HOMESTEAC PURPOSES~
CHIIOREN IN SCHOOI~ PIEASE STATE PLEASE CHECKt ~
TNEIR NAMES2~
- f1lE0 AND RECORDEO
=T.LUC~E COUNTIf FIA.
IIOCER POITRAS
. CLERK CIRCUIT COURT :
RECORD YERIFIEO
APR ~ II 43 ~N'~~
3s~3
I FURTNER CERTIFI' that I will register at my laal address rvhen the registration books reopcn. and comply .vith all
j other requirements o[ a legal mident of this State.
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~ I FURTHE:i CERTI~ hat I have oo intention to ntnrn to my tormer domieile. and I intcnd to remain in
F'v,z T!.~,C~ ~E ~ ST . L UC 1 E _ County.
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Fbrida. permanenti~ . . _ .
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Sworn to and subscribed bc(oro me this ~ dsy oI o~ % ~t '~C£ ~'~-A
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ROGER PO I TRAS, CICRK OF G IRCUI T COUftT
ST. LUCIE COUNTY, F~ORtUA •
BY: ~j .
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EruTY~ I.ERK
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ccc~ 266 ~a~ 164
AGU } orm 71 2'!