HomeMy WebLinkAbout0166 D~clarati~n of Q~sm~cil~ and Ci~iz~r~~hip ~
. 4~~28
TO TH~ CLERti OF THE CIRCUIT COURT.
ST. LUC 1 E COUNTY. FLORIDA: '
This is my declaration o[ Domicile and Cititenahip in the State o[ Florida that 1 am C~ling thia d'ay in secordance, and in
contormity with Section 722.17. Florida Statutea.
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l i\ . / Y' and I
I was formerly a ieg~l resident ot v~
/ ~~~y~ ICit~) lStatel
resided at ~J ~U~~ ~ ST ~ . However. I have changed my domicile to
ISwet ~ad Numeer) /
and am and have bec~ a bona Cde re~ident of the Stute of Fiorida aince ~v~ `L. ~ day of -
V ~ .19 /v . aad I nside at G C~C ~ ` ' ~ ~ ,
~dR ~ L. v~-/~^ «.~N~~~
ST . L UG I E County. Florid~.
law~ '
and this statement is to be taken u my declaratioa of citizenahip, actual iegal residence and domicile in the Stxte of Florida.
I~ FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAD PURPOSES~
CHIIDREN IN SCHOOL~ PIEASE STATE P~EASE CNECK: ~
tHEiR NAMES:
fIlEO ANO RECOROETr
ST. ~11CIE COUNTY FU.
, ROCER POITRAS
CL£RX CfRCJtT COU •
. . . ~ , '~IF~
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4~.3Q28
I FURTlIER CERTIFY that I will register at my local address when the registralion books reopen, and comply with all
other requirement~s o[ a icgal :esident of this State.
I URT~ JFY that I h no intention to mturn to my tormer domicilc, xnd I intend to remain in
r ~ / ' v ~ ~ ~ ST . L U C 1 E . Coun.y,
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j 'r'lorida, pcrmancnti;.
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SW~orn t~, nnd suh~.~ribc~d br~o: c me this dzy of ~~~J ~~~~V~~ ~1~~ SJ. L V C/-
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