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HomeMy WebLinkAbout0920 . . / ~ ' Decl~rati~n of Domicile and Citizenshi ~ . p . ~ . . . . . . . ~ . 3'~'4~ . ~ TO THB CI.ERlC OF THB CIRClT1T OOUaT. ST. LUG 1 E apv~y. g~,p~p~ ~ . ~ . . Tl~is a aq~r ~tio~ ot Dosidle and (~asMip i~ tb~ Stat~ ~f Floe~ida that I aaa Gtiaa thi~ dy? ia sooocdano~. aad ta ; eo~to~ity .ruM ~seeeios 22t.17. ~'1odd~ seatNM. , . , . . I~n~s t ~~+er a ktd reaide~t oi ' ~ I ~ E` • ~aea.t 3~ - ~ 7 _x~,?~, iu~~ ~ ~w? a~~ c~ - .sa~~ae.w~.e«~r;a.~~~.s~.ti.~r~a.~. , a.,?~r - - 2l.~, aed I eesid~ at ~ ~ ,L?~ ~_,0 ~D ~c.1 l ~O`d _ . - . l8hwt nd Nw~~rl - ~ St. lUG 1 E Councr. Fiociaa ~ ~ aod t6b statecoeat js to be LkeA as ap dedaatioo a[ eittreu~hi~. aetusl legal reside~ and domieile tn t~s State ot F{orida. • e If iOR THE rURPOSE Oi ENROLLING If fOR HOMESTEA~ PURPOSES~,, tHiLOREN IN SCH00~~ PLEASE STATE ~LEASE CHECK: ~ THEIR NAMESS ~ • ' . , ~i~US~I~ ~IA~_T/iLJ~Z,_,,,, . , . ~ . ' CtERK IftCyiT T • - ~~"~.pn VEqIfiEO ~ - - ~ Auc 10 .9 a2 ~M'7T - ~ 3'74~91 I FURT~R CF.~iTil~'Y Wat i..~ re~ter at mp toal address ~r6en the registration boolcs reopea so~ oompb wtth aU vtber seqnirewents at a lesal t~esideat o[ this Stats. . ~ I 6a~?e ao intentio~ to r~tnrn to m~r former domie~e. and I iatead to remaia in ! ( ~,.[J~C.C T~~ ST . L U C 1 E . County. i 1~V1 . . j Florida. permaaeot~i . i • ~ ~ti~'~ : : t ,~y ~~~~~~.i.:. ~ . ' ~~~:~{4f""~C'. ; " ~ . ; J r~ (i~'~ . E ~ ~-~~s ~c, . y;- .~,t _ ~ , ~ . ~ . - _ ; w~ : ~ (~J~,~ -t`=-~ ~ ~ _ ,~r:'`- ::~a' ~ ~`,r ~ ; ' . € ~ • - , . . , i -r l j ' -tA~drM~l Sworn b aad wbauibed be(on oN this ~ da~ o( L ~ ~ k ' . A.D. ~9 77 _ '~l'~~~'H- ~ C ' ~ ~ ~ R A C K C RCUI T COUiT - ~ sr. ~uc ~ E cour~nr, F~oR ~ oa _ ~ . . BY: ~ • . F E~11 LERK 0 R ~ ~ , ' 600K r.r ~ . • , • , ~ - _