HomeMy WebLinkAbout0469 Declaration of Damicil~ and Li~rxens~~~~
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TO TIiE CLERK OF T!!E CIRCUIT COURT. a3~~~~5 .
. ST * L UC 1 E ~ ppV~y. ~,pnIDA:
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Thi~ b mr declaration ot Domieik ~?rd Citizen~hip in the State oI Flotid~ that I am Gli~g this da,~r in accocdanee~ ~ad ia ~
coAtornntty with Sectioa 222.1T. F{or~d~ Ststute~. ~
I ~ra ~o~ a kgal ~esideat ot 1~t. [~a ~ o ~ ~ w le r 11 and I . ~ s
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restded at 9~~' N ~ r1' k~, ~~'0 N . No~rever. I b~ve ehinged mp domicile to
lSer~K ud NrmD~1 • ~ .
and am ar~d have been a bona tide resident ot the 5tate ot Ftorida siace - ' ~ dq ot
~ ,19 ~ c - u?d I cestds at ~LZ f
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_ a r~' ~1.g..rsc~ , ' S7. LIIG 1 E County, Florida. .
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aad this statemeat is to be takea ~s uyr deelsntioa ot c{ti~etuhip. aMuat kgd residertee ~nd domicik in tbe Statc ~f florida. ~
IF FOR THE PURPOSE Oi ENROLLiNG ~ If FOR HOHESTEAO.PURPOSES
CNIIDREN IN SCNOOI~ P~E115E STATE PLEASE CHECKi~ ~
THEIR NAMES.
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• ~~A~C~UMtI'RftA. ;
Rocea raTR~a -
_ ClERK CtRCU1T COUR
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I FUBTHER CERTIFY that I w~11 register at my local addres~ ~rhen the registntion bootcs reopca, snd eompi~ with all
other requinment~ ot a tegal resident of this State. _ .
I F'U~iTHE~ CERTIFY tAat I hsve no intentioa to return to my tormer domicile. and I intend to remsia in
_ f'a'`t Pi~YCe ST. Luc~E ..County,
(C'ityl . . ,
Florida. permanenci;. .
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Sw orn to and subscribed bc[oro me tAis dsy of ~~~j u' '
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. A.D.19~7 _ ~
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ROG~R P01 TRAS, CLERK OF G IRCUf T COUtT ~ ~
SY. LUGIE COUNTY, FLORIUA •
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