HomeMy WebLinkAbout0914 Declaration of [~omicile and Ci~iz~enship
TO Til~: CI.ERK OF Tt1E CIRCUIT COURT. ~~~12
ST= LUC 1 E CpUNTY. FLORIDA:
TAis is my deelaration of 1)omicilo and Citizeaship in the State ot Florida that I am feling thia day iA seeordanco. and in
contormity with Sectio~ 22..`'.1?. FloridA Statutes.
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I wu lormcri a legal residenL of ~ ~~`"x- , ~ 1~-~ ~nd I
, ~ ~ ICityl ISeat~1
resided at ~ ? f' . Howevcr. I have cfianged my domicile to
(9 net and NumE~t)
and am and h~ve bcen a boaa Cde re~idcnt o( the State ot Florida aince ~ 1~. ^ d:y ot
e J ~
' .19 . ~nd I reside at ~ / ~ ~ '
~ . (3treet aad NumpeN
y~,~ f-; X ~ ST . L UC I E County. Fbrida.
lCit~)
and this statement is to be taken as my declaratio~ oi eitizenship, actual legal re~idence and domicile in the State ot Florida.
IF FOR THE PURPOSE OF ENROILING IF FOR HONESTEAO PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PLEASE~CH~CK2 ~
THEIR NANES.
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%`'!'c ~=~C'K ~~-r~"~ f ~EO ~MO aECpAoEo
S~.ltlC~E COUMTIf FLA.
ROCER POtT1t~S
Ctfitl( C~RCUIT CCU
' ~ :`{;~+ED
~3~1~ Auc i~i 3~ 2 PM'T
I FURTIIER CERTIFY that I wiil register at my local address when the registration books reopen, and comply with ull
other mquirements ot a kgal resident of this State.
I FURT1iFZ C T1FY that I have no intention to return to my former domicile. and I intend to remsin in
_ ~i~c.e:- ~ C.t' ~ $7 . L U C 1 E . County.
ICit~? .
Florida, pcrmancntt;.
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Sworn tu and subscribed betore me tAis ~ day of ~~C~
i . A.D. l9. ~ 8
ROGER P01 TRAS, CLERK OF G(RCUi T COtJFtT
ST. LtJG 1 E COUNTY, F~OR 1 UA ~
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