HomeMy WebLinkAbout0790 ~ neclaration of Domicite and Citizenship ~
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TOTHB CI.ERK ORTHE CIRCUITCOURT. ~si1~3
ST. LUC 1 E pp~~y. }~,p~upA:
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Thb b my decluatba ot Oanklle aud Cittzen~hip ia the stat~ o~ ~lodda tbat i aa~ Ql~a,~ tt~ts d~,~r in ~ooordaao~. aad ta
eoato~mity wicA SeettoA Z22.t7. i'lorjda sacut.a.
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~ I ass tormer a k~al nsident ot , and I
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r~~Wed a! ~ Howw~r. I baw etianged m~r dwaieile to
latrMt ud Nrs~l .
illd tAI ~ II~YO ~b'fA a bOQa Gd0 Z'!!Idlfi~ O~ ~A! Sti~ O~ FIO[~a Slt1t0 ~r ~
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.____..19~CL.. sud I rwid~ ~t
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?,7ii ~.t ~ ST. LUC 1 E Councy. ~'focid:.
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' aad tbis statemept is to be taken as ~r deelaratbn oi dtiun~hIp. aetual hgal resideoce aud domiei~ ja tbe Stata ot F{aida.
IF fOR THE PURPOSE Of ENROLLING IF fOR HOMEStEAD PURPOSES~
CHILQREN IN SCHOOL~ PLEASE STATE PLEASE CNECK: ~
tHE IR NAMESS
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fl~EO ~ND RECOaoEo
iL L11CIE COUNTY FLA. ~
NOCER POtTRAS
CtERK CIRCyIT COURi
, _ RECORD vER1FIE0
~ - a~ s i2 ~6 PM ~11
I FtJRTHER CERTIFY t?ut I w~l registcr at my bcal addresa ~?ben the rcgistralioa books reopen, and tomply w?ith ~ll
otfiet requir~ment~ ot a kgal resident of thu State.
I ! Z CER~ Y tty~t I~ have oo inteation to return to my former docnic~le. and I intsnd to nmaia in
~7..t.~"~ . ST . L U C 1 E , County.
lCit~) . .
Florida, permanenti~.
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Sworn to ~ad subscribed bcloro mo this ~ dar of '
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A.D. ~91~ -
ROGER PO{~F2AS,~ C~ERK OF CIRGUIT GOURT
S1'. LUG 1 E COUNTY, f ~Ot21 UA •
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EPUtY LERK
' ~ ?~6 ~ 790
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