HomeMy WebLinkAbout0868 • • . . . • .
Dectarat~on of Dom~c~te and C~t~z~nsh~p
' ~ ' 38Q651 + ~
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TO THE CI.ERK OF THE CIRCl1IT COURT. ~ ~
_ ST. LUC 1 E ~~y. ~,p~p~; ;
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Thls b m~r decluatioa oI DomicUo sad Citi:eaship ta the State ol Fb~ida tb~t I am feliu~ tbta da~? ju aooadance. ~nd ta
toatoctait~? ~th S~ctioa 222.1T, Florid~? Statutes. ~
I~ t~ a bgal residant ot ~e 1Q aad I
. - ~cwl ~s~.id
~ u 179 i h f~~ ~ Z)r - - No~ener. I have ebaag~ed m~? domicile to
tst~t imd N~m~l •
•nd ua sad !u?ve beea a boaa Gde tesid~at ot the Stats o[ Florida sia~e ~ da~? ot
.
S~~ ~ 19.~, and I reslde at c~GcC~.L~L2 •~n ~ r~ ~S'~v~ .p A r~ u~
18w~t ~d NrsbKl
, F~ Oi„P r~ e`~' , SY. LUG 1 E Co~nty. ~'1o~d~, i-
' and this statemeat is to bs taken ss en~r declanttaa ot dtiserohtp. setaal legal cesidenee aad domie~e tn tbe Stato o[ F'lorida. j
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If fOR THE PURPOSE Of ENROLLING If i0R HOMESYEAD PURPOSESi ~
CHiLOREN IN SCHOOI~ PLEASE STIITE PLEASE CHECK: ~
THEIR NAMES: -
_ ~~Qn.
I FZJRTHER CERTIFY that I w~1t register at mr locaf addnss wben the registn~tioa books reopen. and wmply with all
other requiremeaq ot a iegat resident of thi~ Siate. ~
I FUA~~eEATIFx thst I have no inter.tion to rcturn to my former domieile. and I intend to remain in
l ~'/'Q~ ~ $Y. Luc ~ E _Covncy~
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Fbrida, permaneacj; .
~OYNTT F~A. ~
~ . OaER /011A1S .
~J1 ~ EOI~~'o:. C~EttK CIRCWf COUR ~ ~
nCJ ~1 "Fr{~?~ y~31F1E0
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. ~ . : - _ OCT ~ 2 44 P~ ~~1
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Sworn to and subxrtbed betoro me thls ~ duy of ,
- A.D.19 ~7 - ~
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ROGER POt TRAS CLERK DF C IRCUI T COI~t~ ~
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ST. Lt1C I E COUNTY, FLOR 1 UA •
• BY s - . ~
EPU1'Y LERK
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