HomeMy WebLinkAbout0519 i..~~.`~e~~s:.~~i~~ C~'~ ~..~~r~l~E~~~G' c~tlq l~t~~~~~1S~1~J ~ /
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T01'jlE CLE:RK OF TlIE CIRCUIT COURT. -
ST. LUC I E ~p~~y~ ~,p~DA:
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Ttiis my declarution ot Domicile snd Citizenship ia the State ot Florida tAat I am filiag this d~y ia xccordance~ and in
tontormity with Scctio~ .~,';.'.1T. FloridA Siatutea.
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I waa [ar, merlr a legal resident ot f'~/Ll-+-fi~ f: _ / « a~d I
~ ~~71 ~ IStat~1
resided at ~1 <~~%'~c~ _ - Ho~rever~ I t~ave changed domicik to
l3t~eet aad NumMrl •
and am and have beea a bo:~a fide ceside~t of the State ot F'lorida since / ~ ~y
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-andlresideat /~f~ ,l~ ~ o~.~c .
/7 tStnet anct iV~Aer)
c--- < ST. LUG I E County. ~9orida,
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snd tl~is sSatement is to be taken a~ my declaratioa ot eitizen~hip. actual legal r~.~sidenee and dom;cik ia the Statc ot Fbrida. ~
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IF FOR THE PURPOSE OF ENROILING IP POR HOHESTEAO PURPOSES~ ~
CHiIDREtV IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~ ~
THE1R NANES:
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a I FI1RT'}iER CERTIFY tAat I w~l register at my loca) addzes~ wfien tht registratioa book~ rtopen, and eomp.y a~ith u1l
~ ather requiremcnts ot a legal resident ot this State. ;
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` I FURT , CERTIFY~ I h~ve no intrniion to rcturn Lo my fo:-mer do:niale, aad I inLend to remaw in -
~ _ L•:~ Gw ~A..~= ST . L U C 1 E . Coanty.
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Sw•orn to and c~bscrit~cd bctorc me this _ ~ D day of ~?~t~I-~u- y~4.~ ~
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~D~r--~~ ~,c..._ . A.D. 17~ . -
ROC~ER P01 TFtAS. CLERK OF C IP.CUI T COUEZT
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ST. llK I E COUNTY, F ~OR t UA ~
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=i:~ BY: ~ .
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` EPUTY LERn
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