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HomeMy WebLinkAbout0159 ' ~IY~I~M•V«~~/~• Y• Y\I~~~~V~~V M~~M ~~~~~w~.~~~~~~ . ~ . ' ~ _ , ` . , . . ~ / tt , . • . l . • . , . ~ . • . 1 T01NE CLE[tK~OF THE CUtCUIT OOURT. ; - . } ST. LUGIE " . _ courrr~r, ~.o~un~ - 1 . . ~ TAb b m~r deelaratioa ot I~mktN and Citisensl~ip ta the Stat~ ot Fbrid~ thsi I am t~Ine th~s d~,p in aecocd~nee. ~nd in tontocmity wilh S~cttw~ 222,17. Flocida SLatutw. ~ ' . _ . . ~ . I ruaa Iormc~l a ktal rraident ot ~ i 5 ~ ICW?1 IStat~l Howroves. I have changed m~r domieile to _ . (&e+Nt aod NrmOw! . • ~ . . tad ~nd have b~ea a bona Gde residant ot the Sti?te otFtorid~ sIACe dyr ot l9 ~ 7 snd I reside at ~ ST. LUC 1 E~~N~~ _ Countr. Florida. tCiyl " ~ aad tl~ts statement ~i to 6e taken as eny declanttoo ot eitir~enahip. aetuai kgal rcaidence aad domieile ia the Statc oi Ftorida. Ii i0R THE PURPOSE OF EkROL1.ING IP fOR HOMESTEAD PURPOSES~ CMlLDREN !N SCNOOI.j PLEASE STATE PLEASE CHECK: ~ THEIR NANES: ' _ ' i ~1~~~ , ~ • ~ -Q.r~.~ ~ ~ ' ~ . ~ ~ ~ ~ i . ar ~RR IRC~IR pW~C T ~ _ ~'a~ YERIFtEO • ~ . S~F il - ~ ~ . . 8 sa AN 77 ~ . ~ ~ . . - . - ~ ~ - ~ { , - _ , I FURTNER CERTIFY th~?t I wt71 register at my locsl address when the registniion b~ooks reopen, aad eomply ~ritb al! other requinments o[ a kga! resident of this State. - ~ ; I FURTHELt CER'PIF'Y t I have no tntention to nturn to m forn~er domieite. and I intend to remain ie ; . ' rct eeL:s.e . _ ~r . L u___c ~E ~ . Couney. Florids. penaanend~. . . ; f - f ~ ,..~u....,~~ ~ - ~ , ~ i • ~ ~t-;`*.~'` ~ t,.~ - i 'f . ~lH~ ~i'= i ..~K` ~ '~ir~, /i~'~' ' : ••3 .e, ~ " ' • _ ~ i y . . t S~; ~ j'f~ `a % ^ ; ~ . . . + _ ~ . . ~ ~ ~ !e'~' ' . • : ~ ~ . . . - t • f SY ' ~ ' . V• ~r4 ~~i• ~ ~ ~ • ~ . . ...-~f3!w'.-.~'" `~a~ - ~ ~~~f . ` . !'t - . , j" ~!ii~.~?'' O~~1S~ ~ _ . / ~t c`, . ~ • - • ' '~.~~f i.f ~.~••;1vjQ~a ~ • i T _ _ - ; ~ ~ Sworn to and subsccibtd bclore me this d~ty o! ` ~ i / r'•~ ~ • ~ A.D,19 77'_ R A CL RK OF C IRCUI T COl~2T ~ f ST. Lt1G I E COUNTY, F lOR 1 UA • ~ BYs ~ ' - • . . ~ , _ , e puY Y ~ ~c ~oot~'~ M6E . t , ~ i ' . AGO Form 7l ~?2 'i ? - - - . . ' . lrt ~ a.{4~~~ ~~tl~1y.. N _ . . _ . . . . _ ~p~y~ ~ ~ A~l ~~e~'RI{~3b" ~ ti.C~7y . ~'a`as •w -.+.A- - ~w~+__.._, ~ ~ ~ ys