HomeMy WebLinkAbout0151 ~ ' icile and Citizenshi ~ ~
. Declarat~on of Dom p
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~ TO THE CI.EItK OF THE CIRCUIT COURT. ~ . .
sT. LUG I E oovrrr~r. ~.oRro~:
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TAi~ b m~r declaratba ot Do~aicile and Ctti:eashIp ta the 8tate ot F'lorida tbat I un t~iaa ti~is dy? ln aoooe~dancs. aad in -
--eoetenaitY~rltl~Saetion2?Z.1~. F'lorida Statutes.
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1 wras f rn~erl s{eg~l tesideat ot S,~- L' _~C~ ~p ~ad I
a IC.tt71 ISWa)
resided at ~3 ~ ~ S~~J r'~"~ . Howeves. I liave ebanged n~p doraicile to
19trMt a~d Noe~l .
and am and have been a booa fide reaideat ot tl~e State a~ Florlda rie~oe ~~~•E - " day ot
-19 and I reside at 7 S~• ~~I'!/`O~~ l~
. (SeeMt aad NaeD~r)
~ v~g _ ST. LUG 1 E Councr. ~loriaa.
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and this statecnent is to be taken as m,r declantion oi eitiuaship. utual kgal residenoe u~d docnic~e in the State ot Flo~ida.
Ii fOR THE PURPOSE Of ENROLLIHC IF fOR HOMESTEwD PURPOSES~
CHI_LO~EN IN SCHOOL~ PIEASE STATE : PLEASE CNECK:. ~
tHEIR NAMES: ~ •
' ~T ~ C E COUNTY F~A
~QCER POITRAS
. . E~K C,PCUlT CO
~•ED
. - J~~H I9 I ol PM'~
_ . 40'7346 ~
~ I FURTHER CEA1'IFY that I will register at my IoaJ address ~?hea the ragistntion books reopen. and comply ~rith all
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other requirementa of : legal resident oi this State. '
i ;
I FURTHE~ CERTIF'Y t~t I have ao intention to retura to my .former domicile. and I intead W remain ia ;
E ~~T .'.S/` L!/G/.L_ _ $T . L UC~I E - Couaty.
j (Cit7! . - -
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~ Flotida. permanentl~ . - -
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(Addnu)
s Sw orn to and subseribed betore me this day of ~
~ _
. A.D.19_ 7 8 ~
6 E
# OGER f'OI TRAS. CLERK_ OF G IRCUI T COURT ~
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~ ST. LUGIE COUNTY, FIOR A -
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~ BY:
~ EPUrY LERK . ~
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