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Home My WebLink About0406 D~claration of Domici~e and Citizenship _ ~ ~ _ ~ ~ ~ ' ~ . ~ . - 3'~6~4= . ~ ~ ~ . - , . . ~ zo~ ct~c oRTx~ c~CUrr c~ovierr, . . - . . ~ . • ` , , . . . ~ ST. L UG ! E t~OUNT'Y FIAt~[DA: • . - F ~ ~ ~ . ~ • ~ Tt~b b aUr dect~estloa ot Ooanietia aad Cithonshtp ta tM State ot I~'lorida tl~at.I aa? ti~ thts dap ia acoocd~?nce. snd ta ~oato~mitp witA Sectbo 7~.17. ~'focid~ Statuta. . . ~'N t~u~ ~ . : I w~a t n~ a kasl rssideAt ot ~VU'ST E tZ and t ~ t~ _ . ~ r~sid~d at .l.. 6 /v _...__.__=._,~r How~. t At~e tiuag~ed ag? domiu'~e to ~ (Str~~t ad NsrMt1 . . aad aia sad bave been a boaa fid~e resid~at at th~ 8tace ot F1or~ds slaee 1~1 - d~y ot ~_,_.,.~,1~~... ~sd I res~de at '4~0 Q~A~-M ~v~E • C de ~ . ISt~wt ud NMaD~r1 _ ~E: PiERCf ~ ST. I,UG I E ~oaot,~?.I~'lorida. - tt~ ~ aod tl~iis stat~emeat is to be taJcea as a~r deeLratbn ot eittsansbip. actud kg~J rasidcaee aad domkile ia t~e State ot Fbrida. ~ . ~ . . . E Ii ~'OR 7HE PURPOSE Oi ENROILING ~ IF fOR NOMESTEAD PURPOSES~ f CMI~OREN IN SCN00~~ PLEASE STAT~ PI.EASE CHECKS~ ~ ~ .tHE1R NAMESS ~ ~ . . - 1 - . ~~,100 ~ - . . ~ ~S t . ~ s _ _ , , ~ C~ERK CIA~W ~OYIIT f ~ °=~'~A~ YER~?!ED ; ' , AttG 2~ ~ 00 PH' ~ . _ ~36.4 , I FURTHER CERTIFY th:t I~vil1 register at m~ bcal addnss when the registration booi~s reopea. and oompl~ ~ith all otber txqulremeats ol a kgal resident oi tbis Stata. . • I FUR1'~iER CERTIb'Y ,~uet I have no i~r?tcntion to return W my former domkik. and I intend to remaia in • ~~~EitciE ' ~ ST, L uc 1 ~ , Conncy, _ iGy) . . " Florida. peraunen~l; . ~ - ;~~,~,F;~.~ ; _ • _ . . r ~ . L' _ ' - '~,~"~;`s;F?~' ~a~~. ; , e~' ~ s : . - . ~i',~ - •~'j~`< , - . - : ~ _ }~•s. ~~.:~f. ~ : ~ ~ ~ ~ ' ~ ~ ~ ~ ` ~:r~~ ? ~~,~91 n-_`~w . ~ t'` t -Si,~ ~~-i~~~_ - ~/~"~iJi~ . .-s ~~fg tr4~~ f~e - . ' . . . , - . . ' _ . ~ • • ~Aw~EL ~ `~~45 • . - , - . . "_r:r . . . . . . (Naou~l ~ - ~ 4~ O „~ac Ave ,~pF c. tAda,...) r-., n~ - - Sworn and subseribed befaro m~ thts dqr at ~ ~~~~~l '~~_____3~QS O ~ r w~~~~ ~ T ~ . . . ~ A.D.19„~r R AS G RK OF GIRCUIT COt~2T ~ ST. LUCIE_COUNTY, FLORiUA • - ' bYs ~ ~ . ~ - , , . - - ePUtY ~ ; r , . ~ . . ~ . _ ~ ~~r fV 1~ ~ : . AC03'erw71-22 - ' ' - . .t-: , .4_~ . _ " -