HomeMy WebLinkAbout0302 Declaratio~ af Dom~c~ie ana ~~~~zei1~~ ~~N ~
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~ TO THFi CLEAK ~F ~Fi ~CUI~ Ci~URT~ ' _ ' ~ r
• ST. LUC 1 E COUI~Tl'Y. Fi.ORIDA:
• '1'1~i~ U my decluation ot Domicile and Citi:en~hip ia the State ot Florida that I a~n filing this day in aecordanee. and in
eontormtcy ~ith Seceion 222.1T. b'lorida Statutes. .
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I was iorn+e~l s kgal ~esident ot I~t~l lscat~l
Z ~ DY - Ho~ev . I hsve cl~aaged my domicile to •
resided at
(StsNt ~d Numaaf
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and am and have been a bon: fids nsident ot the State ot Florida ~inee .
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° , and I re~ide at ~ ~ ~
(Stn.t ~ed NnmD.r1
. ~f P r c~ e - ST . LUC 1 E Cooncy. F'lorid..
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aad this statement is to be taken u my dcelaration ot citizsnship. utna11e8+~ ns~d~nee aad domieile in the State ot Florida.
If FOR THE PURPOSE OF_ENROLIING Ii iOR HOHESTEAD PURPOSES~-
CHILDREN IN SCHOOL~ PIEASE STATE PLEASE CHECK: ~
• THEIR NANES:
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FILED AND RECOROEO
ST. ~UCIE COUNT~ FU.
ROGER POITRAS
~IE~,R CtRCU1T COU
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f I F[JgTHER CF.~tTIF'Y that I w~t11 register at my locsl sddress ahen the ngistratioa books reoPen. and eomply ~?ith all
i ot}:er requirements oi s legal resident ot this State. _
~ I . CER~f thst I have no intention to retura to my totmer domicik. and I intend to remain u?
~/i Ln c~cr $T L U C i E County,
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~ Florida. permsnenci; .
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K Svrorn to and subscribed betore me this day ot
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~ ROGER PO I TRAS CLERK OF G I RCU ~ T COl~2T
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~ ST. LUG 1 E COUNTY, f ~0~ 1.UA -
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