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HomeMy WebLinkAbout0520 . necl~ration of~ l~omicile and Ci~iz~nship , . . : . ~ ~ : . ~ ~ ~ . . , . _ . ~ . - ~ ~ ~ - ~ ~ ~ . . . _ ~ ~~~~oF~~~~~~~~, . ~ ~ ~ ; . . sT. _ ~ ~ ~ . . ~ - ~ 'tbls b my declaratbA oi Domteils aad Citt~en~hip ta tbe St+~te ot ~'lotida that I am filtaa thts day !n acoood~ace. and it~ conformitr ~vith 3ectbn 222.1T. Florida Statute~. . I~ra~ i rmert a k6a1 t~aident ot • h ~ i . - lCkfl . ~ . restded at ~ 3 X"~~-N How?~wt. I b+~v~ ebaAged ay? domieile to tBerNt and N~m4~1 • ~ • ~ aod am and bave beea a bona Gde reaideat o~ the State oi Florida aipcs S s d+?7 ot ~.T..r ~ ~ ~ ~_._..:19.~2~.. aod Irea~de st . w ^ ~ (8tn~t ~d N 1 ,~c~r T . t~ ~ _ ST. LUG I E Couaty. ~'lorida. lCWI aod tAia statea~ent ts to be takea as nyi dedacatioa oi dti~eemhlp. aetud tiegal resideaco ~ad doanie~e in tbe State of Fbrid~. . Ii POR TH£.PURPOSE Oi ENROL~ING IF POR HOMESTEAO PURPOSES~ t CHILOREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: : TNEIR NAMESt _ ' ` i l~]T~ i • . ~ _ - . ~ . . . . • •~I~TT ~ ~ . Cl RR QIItCU~IT ~OOIMT ` ~ . e-~-~R11 VERlFtEp~..+..r.. ~ ~ . . ~ SFR i~ II v~ ~'I `17 ~ ~ ~ ~ - . ~ 3'~8~4+6 i . _ 3 I FtTATHER CERTIFY that I wilf register at my locil addres~ ~+?ben the registntion books nopep. and eompl~ ~rith all othar rcquireraeat~ ot a legal resident oi thia State. ~ ~ I P`URT}iE~ CERTIF'Y that I have tw Iattntion to return to m former donnieile, and I Intend to remiin in I ' Pe~ ~ S-~ Lti e~ z~ ~T. LUC 1 E ~ Councr. ; - : lCit~) . - . ~ . , j Fbrida. perm~wee~ify.,... ' ' : = ~ : . ~ . . . - - ~ . , '~l? t!~'`~.~ : ,,.;j: _..fi r r . ~ `y rca :~Ii`ti ~ ~ ~ r~,: ~2~ • '~3a',~' ~ : ~ - • ± • f•• ~ ` ' ~ ; •i~.•~t~~~~~`~. Y%'~ ~V~, . ~ •s,; '.i~~„ ~ A~•~' • : ,~~t ~r^.~ 4 + ~ ~ ~ ~L ~ - • ~ - - ~ - ; - . . , ~ ~ . ~ • ~ E - Ti~ . ~SOti IN~) - ~ ~ 1'~L+(r !d?~~ ~i rc P . / 3 _ Swora to and subxribed be[ote me ibis dqt ot ~ .3 ~ A.D.19~ ~ R A C R OF C RCUIT COU2T ST. lUG1E COUNTY, fLOR10 • . . , ' eY: ~ ~ ~ ~ ~ , EPU LERK . ~ . . ~ ~ R NI6E ` ~ . _ - " ' ' , . AGO fvrra tt•!2 . Y..r~+~~r++e .r.. ~ . . _ n ~,.-a~.... ,s~.i'n~iJri:d:~.y4~e.-a. .+b.it: w _ y . , r. ~ . ' _ ~ . -