HomeMy WebLinkAbout0224 V4l+OdldliVl6 l1'1 CIVIIIIl~11~ QIfLI VIt~L~:t~~~~~N
~ 4U9335
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~ TO T!!~ CLF.RK OF THE CIRCUl1' COURT. . ' ~ ;
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~ sr. LUC1E • -
. COUNTY. FIARIDA: _
Thi~ is my detlaratioo oi Domicila ~nd Cit~e~~hip in the State of Fiorida that I am t~ling thi~ day In aecord~nce. and in
contormitr w•itA Section 2~.17, Florida Statut~s. ' '
t was form~~tY: tegal resident ot ~•~~j N~~/~`'1 c~~ ~,~S~L~~ ~
r t.J Yoti'~. and I .
ICic 1 ~ Stata)
resided at ~ 3~~- ~r S~ O~ , Howeve~. I have changed my domicile to -
IStn~t and Num1?erl
and am and Aave been a Dona Cdc resident ot the State ot Florida aince ~ day oI
~ ~ , ~5~. ,19~, and I reside at ~ ~0 g ~''1 / ~ /9 ~
lStre~t and N~mberl
Fa~ /~isy . :3 ~ ~ v ~ ST. LUG i E County. Floridd. .
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and this statement is to be taken as my dedsration of ritizer.~Aip. attual legal re~idenee and domicile in the $tate of Florida.
i~' rCR }!dE DURPOSE QF ENROtI ING I F FOR Ff0l~ESTEAD PURPOSES~
CNILDREN IH SCHOOI~ PLEASE~STATE PLEASE CHECK:
TNEiR NANES: . ~ ~
. II~EO ~NQ REGGR:~E!:
ST ~uC1E COUM7r F; a
qrtrr: : ~tiRA"
c • ~ ~ . T'7~"~'."'_'-
_ J~1. 10 i I~3 RN'7s'
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- 4U9335
I FURT1iER CE:RTIFY that I wilt registc; at my iocal address when Lhe registration books reopen. And comply with aQ
othtr requiremeuts of a Iegal resident of this S:ate.
I FURTIi~'~,Z CF:~ZTIE~' that I Dave no inirniion to return to my former domicile. and I intend to rcmai:~ in
I'~.2i I~i~~~C~•t; , St. LuC 1 F: ,County,
. (Cit7) _ -
Florida, permanenti; .
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