HomeMy WebLinkAbout0647 Declarati~n of Domicile and Citizensh:p f
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TO Tl[E CLERK OF TIfF CIRCUIT COURT.
ST LIJC 1 E CQUIVTY, FLORIDA:
This is my deelaration ot Domtcile and Citiaensbip in the State ot F{orida that I un Cding this day in aecordanca. a.nc! in _
ton[ormity aith 3ection 222.17. Florida Statules. -
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I~vas [ornnerl a legal resident o[ ~_L Y~ - ~ ' and I
lCit71 StaW
resided at ~1~~d ~ . Howaver. I hsve ebanged my domicile to
1 tnK aod Number)
and am and have been a bona Gde re~ideet of tha State of Florid~ since ~ a~ day o[
,19~ and I nside st g ~ ' ' ~ ~
(SteMt aad Numbsr)
l~-~,~ 4_ _ ST . L UG I E Councy. Floria.,
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aad this statemeat is to be taken u my declaration ot eitizenship. actual leg~?1 resideace and domieile in the Stste ot Flocida.
IF fOR THE PURPOSE OF ENROLIING IF fOR HOMESTEAD PURPOSES~
CHIL~REN IN SCHOOL~ PLEASE STATE PLEASE CH~CKS ~
THEIR NAMES:
. i~~UCE~C~UTII~S LA.
~AK C~RCUIT COI:R
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Auc I I 4 ~ 9 PM'78
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I FURTIiEB CERTJFY that I will registcr at my loail addres~ rvhen the registration books reopea. and comply w i~h all
; other requirements o! a legal resident ot this State. -
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E I FURT}iE. CF.RTIFY at I have no intention to return to my former domicile. aad I intcnd to remaia in
~~rL~- y.r~~ _ $ T. L U C 1 E ~ County.
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l Sworn to and subscribed be[ore me this day of i~J1'~" l~t ~~-~-ri Cc .
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~ ~~4~ . A.D.19. 7 v
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j RnGER POITRASs CLERK OF GIRCUIT COl~2T
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~z ST. LUCIE COUNTY, FLORtUA ~
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' BY:
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~ EPUTY LERK
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ACO F~~rn~ 71
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