HomeMy WebLinkAbout0135 Declaration of Domicile and citizensn~p ~
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TO THE CI.ERK OF'1'HE CIRCUIT COURT. • . • .
• ST. lUC 1 E COUtV't'Y. FLORIDA:
• 'Thia b aq? declsrstlon of Domicile u~d Citiseo~Aip in th~ 3tat~ ot Floarida that I am Ning this dy ia uooedaoee. aad in
conformity with Seetioa 2?2.17. Florida Statuta. .
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I Mii I~ i 1!$i~ TQl~l1~ O~ (Cit)) lStaN)
~ IU-~ However. I have cl~anaed ui7 domicile to
nsided aL :r~~ , (S~..t a~ Nomb.r) .
day ot
and am snd have been a bona fide n~ident ot the State ot Florida aince ~ ~
r x a 3 s
, -19~ and I reside at ~ tsa..e.ed N~mb.r)
~ e~~; ~ _ ST . Ll1G 1 E Count~. Ftorid,,
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illd L~l1S SLS~1nQQ~ iS ZO De ~a0 it ~ dECiihVO~ O~ tlL1ZeRlIIIQ. actusl legal resideace and domide in tbe Stat~ ot Florida.
Ii fOR NONESTEAD PURPOSES~
Ii iOR THE PURPOSE Of ENROLLIN6 p~EASE CHECK: ~
CHILOREN IN SCHOOI.~ PLEASE STATE
• T IR NANESt ~ ,y -
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CkE?K CI~CU~T COURT
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- 413006
I FiJRTHBR CERTTFY that I~v~l register st my local adde~s when tbe ngistration booics reoPea~ and oomply aith all
; othcr requinments oi a legsl sesident ot this State. .
` I FURTI E~ CE that I have ao intention to rcturn to m7 farmer domicile, and 1 intend to temsin i°
,F / ~ / E~ ST . L U C 1 E _ County.
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s Florida. permanenti; .
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Sworn to ~nd subscribed before me this Y ~ •
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~ ROGER POITRAS C~ERK Of
CIRCU~T COURT _
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ST. LUG I E GOUNTY, f t.OR 1,UA ~
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~ BY • _ E P UT Y L E R K BU(!K ~t7~.r PAGE ~3~
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