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HomeMy WebLinkAbout0407 i~ect~ra~ion of Dor~nicile ar~d Ci~iZenship . ~ _ . - . . . . • . . . . ~ . . ~~;~s . ` ~ ~ ~ ~ . ~ : . . ~ - TO THE CI.E~tC OF THE CLRCUIT OOURT. . . . . ~ i _ ST. ~,f~,UC 1 E OOUNTY. FI.O~twAs . , - ~ . . ~ . • ~ Tbts b nqr dedarsttoe~ at Aon+icUe and Citise~ahip in the State ot F{o~~da that I am 6tio,~ this d~,p in ~coordu~ee. aad ia ~ ~oat+o~tr wltb Sectioa Z22.17. Floclda Statutes. ~ . ~ I w~s I rmc • k6a! rtsideat ot ._~._,f~l„~N/e ~ tad I ~ • ~ lAt~i t~ ` . n:ided at ~Q.~ F'~ .~y~ - Ho~rrvar. I l~ave ebaa~ed m~? domie~ to ~8te~e+t a~d N~eoOK) ~,f ' _ aad am and have baea ~ boas fide tesideat ot the State ot ~'lorid~t siac~ ~q - D2 l~~ d~U? ot ~ 19_.-..-.. u~d I ra~id~ a! •S. ' . tStrMC rd Nwsse~l ~ ' ~T A~ ~ _ . _ ST. LUG I E ~ • Count~ Flo~idu. • tcui! ~ : « " ~tad tbb st,~temeAt ta ta bs takea as m~ dec4~atioa ot dti:en~bip~ actust legal resideaee aod domie~e iu ibe 3tato ot Fbcids. : . . - - ~ ~ . Ii' fOR THE PURPOSE OP ENROt4IN(i I-F ~OR HOHESTEAD ~PURPOSESi ~ CHiLOREN t!t SCHOOf.~ PLEASE STATE PLEASE CHECKS o ~ ~ tNE1R NAN~S2 - - ~ . . . ! t . . . . + t ~ • , - . - . ~ ' a - - . _ . CtERK CiRGtit COYA? ,Q,~ . • or~rE'.'} YER~FIEO~~~s.~~Y.A - . . ~ ~ ~uc 2~ ~ 3 n~ PN'.j j - . . _ . . - ~ - .~~~5 I FURT}iER CERTIFY that I will regisier at my We:l addreu when ~he registratioa books reopea. ~ad eomply ~+rith slt . olher requiremenis o[ a kgd resident ot this State. - . I FUATIiEZ CERTIFY thst I have no intentioa to ntnrn to m forn~er domie~e. and I~utend to remsin ia • ~t . L u c t e , Coua,~, - cav~ . . - Florida. peru~anend; . - ~ . s•-..' . ~ ` • : ~~r{~'~w' ~ ~ ' ~`~~t ~~f" ~ ~ ~ Q ~ ~ n Qi ~ . • ~ • S ~'~.`.:~q~ ~ • ~ ~ - ; 1. Gs~s*y ' ~ ~ ` ~ . ;.,y~'~ , ~ ~ ~ ,~~r ~ - _ f Q~ . • x ` 'N ~ i~ ~ i nr. "'i ~-4 ~ ~ ' , y_ . . . . _ c . , ' ~1 ~~~s~f~~~ ` . I, • . 'f ~ i ~7~~ S~ ~ - ~ ~ ~ P,:r~~ ~ ~ Y o ~ ~ ~ Sworn to aad subscn'bed bciore me this da.p ot ~ . , ~ - A.D.19~. , . R P AS C ERK OF C IRGU1 T COt~2T ST. LUC t E COUNTY, f I.OR 1 UA • BY: ~ ~ . . ~ • ~ . " , EP~tY aK . , . , t - , . E - , , ~O~E~i iM~f = ~ ~co F~~ ~~•n , '~V~ . ~ _ _ . _~j_ . . - . . , y - _ . ~