HomeMy WebLinkAbout0263 ~tr."~'+~~4~Cf~:~~ ~i ~ ~~i~ Ci~il~~: CX~ 1~: ~~t~~:.~~.
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TO THE CLEItK OF TIIE CiRCUIT COURT.
G
ST. lUC 1 E CpU~y. FI,ORIDA:
• 1'hu ia my declaration of Domic;lr and Citizenahip in tho State ot f'lorida that I am Gling thu day in accordance, ~nd in
contormity Mrith Settion 222.1T. Ftarida Statutes.
I ~ras farmcrl a legal resident ot ~S C~ `t e. ~ t~ , ~
t~ and I
? 1Cityl ' lStat+l
tesided at a SE~ Vr ~ _ Howevec, I have changed my domicile to ,
(Stte~t aed NumD~N f -
and am and have beca a bona fidc resident o! the State ot Fiorida ~ince day ot
L£. N~P' . l9_,~.. aad I reside at ~
7 4° ~ S, i1~-` ) ~ N L-.~ h} [r.
~ _ (Stre~t ~od NumDed
i c:.~L ~ ST. LUG 1 E County. Fiorida,
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and this statement is to be taken as my declaration oi eitizen~fiip, setud lega! ~idence aad domicile it? the State oi Florida.
Ii FOR~ 7HE PURPOSE Or ENR.OLLING IF fOR• HOHESTEAD PURPOSES~
CH1lbREN IN SCHOOL~ PLEASE ST/1TE PLEASE CHECK: ~ ~
THEIR NANES:
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~ I FLJRTHER CERTIFY that I w~! regisier at my lu~cal addres~ when ti~e registration booic~ reopen. and comply with sll
; other requirements of a legal resident oE this State. ~
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~ I F~tTHE:t CF~R TIFY that I hsve no intrntion to return to my tormer domicile, and I intend to remain in
3 ~ p,~-~ S L..~ C ~ L $T . L U C 1 E _ _ County.
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Florida, permanemi;.
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- Sw•orn to and aubscribed bclore me thu / day of K' + --~~1 ~ ~J j~ t+ .3~ 1
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80G'~R P01 TRAS CIE~K OF C IRGU! T COl~2T
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ST. LIJC E COUNTY, FLOR t UA •
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