HomeMy WebLinkAbout0280 . D~claratian of Domicite and Citizenship j
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TO T![E CLERK 4F TNE CIRCUCI COURT. . , :
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' ST= LUC I E CpUM'Y, FLORIDA:
This ia mr decluation ot Domicile and Cit~enship i~ tAe State of FlorWa thst I am tiJing thls day ia aecordanee. u?d in
coaformily with Scction 222.1T. Florida Statute~. ~
I wa+ tormcrl • iegal reaident o[ ~ n~~ G (l~l~l ~ i.r'~ , / i~1 _ as~d I _
lCity) tStat~l
resided at ~ ~ i~ . Howerer. I Asve cAsnged my domicik to -
~sd Numeet)
and am and l~~ve bcea a boaa fide teoident of tAe Stste of Florida ~ieee ~_'f~-" ` day at
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~ i . -.19.~5..~ aod I residc at _ 7~ b ~L •
- (Stnet and Nwob~r) ~
~~`ti~E ~-~~i~'- - ST. LUGIE Couaty.Florida,
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and this stalement u to be takea u my declacation oi citizrn'sAip. actoal legal re~ideaee and domieile ie the State of Florida.
If POR tNE PtfRPOSE Of ENROILING I~ FOR HOMESTEAD PURPOSES~
CHt~OREN IN SCHOOL~ PtEASE STATE PIE/lSE CHECKS ~
' THEIR NAMES:
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F tF~ AND RECORDEG
~uciE couNTr Ft,,.
RoC~a POiTAAs
CLEpK CIRCUi~ COLATe
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- - Auc 15 ~r os aN ~T8 ~
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1 FURTIIER CERTIFY that I will register st my local address wiren the regestration books reopen, and comply with all
othcr requirements ot a kgal resident ot this State. ~
I FURTIIEZ CE:tiTIFY~hat I have na i~tention to return to my formcr domicile. and I intend to remain in '
- F+ j_,p~. S7 . L ut ~ E , County. .
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Fkrida. permanen~i; . -
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SK~orn to and suLscrihcd Lelore n?c this day ot ~„~Q,/'f" ~~~r C-~~ ,
~C.~.±-~-!~ ~ A.D. l9. ~ 8
ROGER P01 TRAS_, CIERK OF C(RCUt T COUtT
ST. LUGiE COUN7Y, Fl.O~tUA ~ ~
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. EPUTY LERK O,~ +w_
3U011 , PACE ' i~~1~%
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