HomeMy WebLinkAbout0156 ~ C3~~t~r~t~~a~ of i~~r~iC~C~ C~rizc~s~hip ~
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TO THE CLEItK OF TllE CIRCUIT COUAT. '
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, ST. LUC I E apuNT~. ~I.pItiDA: ~
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~ This b my dccl~ratiori ot Domicilo ~nd Cilizenohip in the St~to oI Fbrida lhat I am filing this dar in accord~nce. and in '
eonfocmity with Scctio~ 222.17. Ftorida Statutes.
I was tormcrl a logal reaidcnt ot • ,v J~ and I • ~
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n~~ lo Le EO /26 ~~9- ~l .T . Ho~vaver. I havo ehanged mr domicilo to
IStn.t.ad PlumbKl . .
•nd am and h~ve bee~ a bona fcde cesident ot the State ot Flor~da air?ce ' ~ 3 d~y of
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~(~~/s--f ~i~tadlnsldeat ~C=-D~?/~? G L°~/Z ' i
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' and this sUtement b to be taken u my declaration ot citizen~hip. actuat legel nstdence and domin'le ia the Stato o[ Florida.
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If i0R THE PURPOSE OF Ct.ROLLING If FOR HOHESTEAD PURPOSES~ j
CHILOREN IN SCNOOI~ PLEASE STATE PLEASE CHEGKS ~
THEIR_NANE~.
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- C1.ERIC CtR6WT~!'AURT ~
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~ 3'74143 ~
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I Ft1RTHER CERTIFY that 1 wi11 rcgister at my local addreas when thc registration books nopcn. end comply .vith all a
other r~quirementa ot a legal resident of this State. ~ ~
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! ~TIiE:~ C RTIFY thst I I~ave no i~~trntion to return to my former domicile. and I intend to rcmaio in ~
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~ Sworn to and subscribrd bctoro n~e this r dny of V~- vC L ~1. yS
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~ ROCER P01 TF2A . CLfRK OF C IRCUI T COl~2T #
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~ ST. LUGIE COUNTY, F~ORtUA • #
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