HomeMy WebLinkAbout0115 vec~arat~~n or uam~ci~~ an~i ~~~~zen~~
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~ TO'I'EIB CLERK OF THE CIRCUIT COURT, . ' . ' . I
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' ST. LUC I E COUNTY, FLORIDA: i
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1'his b mr declar~tion of Domicile and CitizcnsAip ta the State of Florida that I am fiGag thia day ip aecordsoce. and in %
tontornuty w'ttA Section 222.17, Florida Statutea. ~ :
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I wa~ formerl a Icga) re~ident ot L F'v ~ ~`~~,'ri ~N' ~nd i !
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resided at ~6~- c F . Howtver. I have changcd my do:s?ieile to
IStewt aed Numpe~!
and un and have been a Dona Cde re~ideet of the Siate ot Florids siace ~~'~v~St,~T_, day ot
~ .19 ~ y - and I nside st ~ ~ ~.Z S ~ 34 /~i G ~ !4~ ~t ~F_ c
(Stt+~t and Nno~!
~ T-S%. c~ ~/w 3 3 y, - , ST . L UG I E Couaty. Florids.
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artd this statement is to be take~ u my declaration ot citizen'ship. actual legal re~idence and domicile in the State o! Florids.
IF FOR ?'HE PURPOSE OF ENROLLING IF i'OR HONESTEAO PURPOSES~
tHIL~REN IN SCNOOI~ PLEASE STATE plEASE CHECK:
TNEIR NAHES: r-
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I FL'RTIiER CERTiFY that I will register at my local address when the registration books reopen, and comply with ati
other requirements of a Iegal resident of tt~is State. '
I FURTfIE:t CE`KTIFY that I havc no intention to return to my former donucile, and I intcnd to mmain in
i i ii S JC ~c~~•`i~L6li//N ~'T ~!/K/-' ~=~T Sf ~vc~~i , S7 . L. UC 1 E County.
(Cit~) .
Florida, permanenti~.
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