HomeMy WebLinkAbout0114 . Q~ciaration of Qomicile and Citizenship
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TO TtIE CLERK OF THE CIRCUIT COURT. . ' , ' :
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ST. Ll1C I E ~pv~rry~ FI,pR1DA:
TAi~ b my declaration ot Domicile and Citizcnahip in the State ot Fiorida th~t I am fili~g thfs da~ in aecordance. and in
conto~mity with Scction 222.1~, Florida Statutcs. '
I was form~rt • kgal resident ot ~:~.~l~r" ~ and I
~c~t.~ (Seat~1
tesided at ~r~~'«' . Norvever. I Aava chaoged my domicilc tv -
(3t++~t wd Numbetl
and am snd hsve becn a bona tide re~ideat ot the State of Florida ~ince (~~d~ L~~ dsy ot
~ ~ , ~9_~.. aod I reside at ~ / , /r r~ ~f~
. 1s~~.~a N~~oe.~1
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LR^~-~ ST. LUC I E County. Florida.
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~nd this sta.tement is to be taken as my decbcation o[ cituenehip. actual legal residence and domicile iq the State ot Florida.
IF i'OR THE PURPOS~ OF' ENROLLING IF fOR HOMESTEAD PURPOSES~
CHII~REN iN SCHOOL~ PLEASE STATE PIEASE CHECK: ~
• THEIR NANESS
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lUC1f COUti~TY FLA.
ROCER ?p~rRAS
- Cl FRK CI~~UIT C U~t
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~ Qu~ 1~1 II 26 AH'~8
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I FURTIiER CERTIFY that I will register at my local address when the re~istration books reopen, and comply with aU '
~othcr requircments o[ a Iegal resident of this State.
I FURTfIE:t F,itTIFY tt?zt I have no intrntion to return to my tormcr domicile. and I intend to remain in
' $7 . L U C I E County.
C~'-~ '~.r' , .
- (Cit~1 .
Florida, permancnti;.
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SK•orrt b nnd sul~~cribe•d betorc mc this ~ day d _ ~~~i',~ ~
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RnGER ~OI T?~S, C~ERK OF C iRCUi T COURT '
ST. LUCIE COUNTY, FLOk1UA ~
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EPUTY tc~r. n
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AGA F'or~a 71 ~g
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