HomeMy WebLinkAbout0872 DeC~aration of Domic~l~ and Cit~z~nship -
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TO THE CI.EAK OF THE CIRCUiT t?OUAT. ~~~89 . . . .
_S_,,,T_. Lt1C 1 E __.____CQUNTY. E'LORIDA: ~ .
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Tbb ts my dcctaration ot Domicilo sad Ctti~nship in ihe Stata ot Fbrid~ that I ua Glina tAb dyr In aecordance. and ia :
eoatonaity witA Scttion 222.1T. Fbrida Slatuta. '
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I tr~a lorRe~e,r,1~ a kgal reaideat d S~
~ne~CN.,~an a~l,(~nctc~, ~ , aad I . _
latl?1 t8tatd ,
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resided at - - HoMev luve eiun domieib to
t&e~t ud Nwob~l . t
•ad saa aad have beea a bons Gde sesident ot the State ot ~7orida ~Inee ~ d~p ot
~ a 19~ aad I restde at a~ ' -
1 asd N~rl
~ , ~ ST. LUG I E Couaty, FMriaa.
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' ~nd thu atateu~pt is to es takea u any dects~~tio~ oI citizenship. ~rtu~l kgd reaideaee ~nd domie~ In the State ot F'brida.
y If F'OR THE PURPOSE OF ENROLLtNG ~ Ii fOR HOMEStEAO PURPOSES~i
CNIIOREN IN SCNOOL~ PLEASE STATE PLEASE CHECK: ~
tHE1R NAMESS
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• C! ERlt ~IRC~lIT COURT -
_ ^^•F" YERIf1E0 -
Auc 16 2~ o PN'1~ ~
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I FURT~IER CERTIFY that I a?~l register at my tocal address when the ngistratioa books reopea, snd comply .vith all
other teqnirement~ ot s kgal resident ot this Stale. • ~
I FLl Z CE TIFY that I havc no intcntion to retum to my [ormer domicile, and ~ I intcnd to remaia ia
ST . L U C I E Count
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Fbcida. permanenti; . .
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Sw~orn to a~J subscribed beforo me tbis a~ day of ,,,~~5~ `
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ROG£R P01 TRAS,~ CLERK pF C IRCUI T COU2T
ST, LUG 1 E COUNTY, FI.OR i UA ~
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EPU?Y LERK -
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