HomeMy WebLinkAbout0838 Declaratian of Domicile and Citizenship
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413460
TO T1lE CI.EItK OR TH~ CIRCUIT COURT.
ST. Ll1C I E __COUNTY~ FLORIDA:
This is m~ decla~ation ot Domicils and Citisen~hip ia the State ot Florida that I~m Gling this day ia aocordaa~e. and in
eontormitr with Sectio~ 222.17. Florida Statutcs. .
I was tormerl a kgal resident of rY -P and I
lCit7) lStat~)
resided at y ~r~ ~ Y C= . Ho~rever. I aave ehanged my domicile to
~ (&n~c ~ed Nwsb.r) l
and am and havc been a bona Cde nsident ot the State of Florida ainee U day ot
.19~,~. and I reside at ~ ~ ~ -j > ~
~d ~
(SteMt aad Nwo~e~)
r~ )'r L u c:-1 ~ ST. LUG I E Couacy. Florida.
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and this statement is to be taken u my declaratioa ot citiunship. actual kgal residenee and domicile in the State ot Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAO PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STATE PIEASE CH~CK2 ~
THEIR NANES2 l
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luC1E couMTr fiA.
CLERKCC RCUIT COU
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~ I FURTIIER CERTIFY that I will cegister at my local address when the registratioa books reopen. and comply witfi all
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~ other requiremenls of s legal msident of this Siatc.
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~ I FU~'f}IER CERTIFY that I have no intention to return to my former domicite. and I intend to remain in
r p r T ;I - L-~ I~ . S T. L U C 1 E _ County,
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Florida. permaneaei~ .
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? Sworn to snd subscribed be[ore mc this ~ day ot
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- . A.D. l9. 7 8
ROGER POI TRas, CLERK oF C IRCUI T cOURT
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~ ST. LUGIE COUNTY, F~ORIUA •
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~ EPUTY LERK
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