HomeMy WebLinkAbout0595 Declaration of Domicile and c:itizensn~p
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TO THE Ci.BRK OF TNB CIRCUIT COURT.
ST. LUG I E _ COUN'rY. FLOItIDA:
Th~s ia my decl~~ation ot Domlcile at~d Citiseael?ip ia the State ot Florida that I am filing this day ia ~eeordance, and Ia
eoatormity with Sectlon 222.17. Fbrid~ Statules.
I wes formerly ~ legal resident o[ ~~'~~p~~~ ~ I
ICWr)
~t ' Navever. I have ehanged my domicile to
(8tn~t ~od NnmO.d
and ara and Aave beea a boaa C~de naident ot the State ot Florida ~ince dar ot
.19_~ st~d I reside at ~'d Tv~4A/~ -
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!~r ST~ 1
1C~ P~ ST . LUC 1 E County. Fiorida,
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and this statement is to be takea as mp deelantioo ot eitiunship. actual kgal reaidence and domicile in the StaLe oi Florida.
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IF FOR THE PURPOSE OF ENROLLING IF FOR NOHESTEAD PURP SES~
CHILDR~N IN SCHOOI~ PIEASE STATE PIEASE CHf~CK:
THEIR NANES. '
f LEo ltt~0 RECOROEO
s~_ tuc~E couNTr f~~.
ROCEA POITRAS
GLERK C:ACUIt Cpl!
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. AUC I 1 2 23 PM'18
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I FURT1iER CERTIF'Y that I wiq ngister ri my iocal-address when the registration books reopen, and eompiy with all i
; other requirements ot a legal resident of this State.
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~ I FUBTIIER CE~~ thit I have no int~ntioa to return to my former domicile. and I intend to remain in ~
E {rj~ / Lyt~C / P - $ T. L U G 1 E - Couaty.
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~ Florida. permancn~i; .
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~ Sworn to and subscribed before me this day ot ~
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. A.D.19. 7 B `
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~ ROGER AS CLERK OF C IRCU! T GOURT -
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ST. LUG I E COUNTY, F I.OR t UA •
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EPUTY LERK
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