HomeMy WebLinkAbout0238 ' I~~cE~~-~fi~n D~~iicit~ ~~d Ci~~~~nship
TO T~IE CLEItK OF TII~ CIRCUIT COURT. ~ 3~'4~g~
ST. lUC 1 E ~p~y. ~p~oA:
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Thi.+ u mr deelaeaiion ot Domicilo and Citis.enahtp la ths State ot F'torida that I am Ciling thts daUr in ~ecordance. and in ~
eontormitr with Seclion 222.17~ E'lorida Statutes. ~
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I rva~ tormeri a~egai reside~t o[ - . aad I 3
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te:kled ~t ~ - 3 . Ho~?ever. I have chaagcd my domicile to ~
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and am and have been ~ bona fide re~ident of thc State ot Fiorida aiace ~ , day ot ~
~.19.ZZ~ and I teside at SI 3 1.~r~". ~ - i
l3t»~t ai,d Numbu) F
- ¢I ' / ST. LUG I E Coun:y. Floriaa. f
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" and this stntement is to ~e taken u my deeiaratiao of citiun~hip. ectual legsl re~idenee and domieik in tfie Stato oi Florida.
If POR THE PURPOSE OP ENROLLlNG , ~ IP FOR HONESTEAD PURPOSESi
CK I LOREN I N SCHOOL~ PLEASE STIITE PI.EASE CNECK2 ~ ~
TNEIR NAMES: :
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CtERK CtRCU1T COURT .
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1 FURT~IER CERTfFY that I w~I register at my local addres~ when the reg;stration books reopen. and co~nply with all ~
other requiremcnts ot a tegal resideat of this State. ~ £
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I FURT E~ C R1'IFY thst I lisve tcntion reiurn to my [ormer domic:le, And I intcnd to remsin in '
~ ~/~~D_ A~~,~ ST. LUCIE
l(St~) _ . County.
Florida. permLnenti~ .
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SNOrn to and subscribcd bo(orc mo thu --"y~ dar of ~
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, A.D. l9 77 _ {
~GER PUi TRAS, CLERK OF C lRCU! 7 COlx2T ~
ST. LlJG ! E CQUNTY, f lOR 1 UA • $
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BY: ~ ~ ;
EPU LERK ~ ~ ~
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