HomeMy WebLinkAbout0278 . Dectaration of Domicile and Citizenship ~
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w~ TO T11E CLERK OF THE CIRCUIT COURT. ~ . ' . - ;
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' ST. lUC I E ~pUNTY. ~'~pR[DA:
Thia b my declaration oi Domicilo ~nd Citlzceuhip te the Stats ot Florida that I am filiag this day i~ aceordsnce. and in
coaformity with Seetion 22.''.IT. Fbrida Statutes. j ' ' ;
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I was Iorm~rlY s Mg:l re~ident o~ /_~~~Q
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residcd at ~ . Hoaev~r. I have ehsnged my domicile to •
and NumDaK1 j
and am and have bee~ a bona Gde resident ot the State of F'1orid~ aince ~ d~y of
.19~ tod I reside at .c~ C`' c 1' .e :,s,?-ca.4
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• IStroet and N~mDe~I
~ , ST. LUCIE
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- ~'~a . County. Fiotida,
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and this statement is to be takea a~ my decLration ot citizen'ship. aetuat legal residence and domie~e in the State ot Floride.
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IF FOR THE PURPOSE OF' ENROLLING Ii' POR HONESTEIID PURPQSES~
- CHI~OREN iN SCHOOI~ PLEASE STATE PLEASE CHEtKS ~
' THE IR NANES: ;
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j iilEO ~N0 NECOROFD
iT• IUCIE COUNTY FLA.
~ ROCER POl~RAS
' CLERK Ci~CUIt COUR _
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I FURTIiER CERTIE'Y that I w~~7I register st my local address when !he regisiration baoks seopen, and comply ~vith all
other requiremeats af a tegal resident ot this Statc.
I I~'URTIIE:t CE~iTIf'Y that I have no intention to return to my [ormcr domicilc. and I intend to remain in
• , ST . L uC 1 E , County.
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Florida. permancnti; .
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5v?orn to and subscril~ed betore me this ~ S dny o[ ~ ' J 1-a~ ~
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ROGER P01 TRAS, CLERK OF C IRCUI T COURT ~ .
ST. LUGIE COUNTY, FLOk1UA ~
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EPUTY LERK ~ °
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