HomeMy WebLinkAbout0320
. D~clar~tio~ of Domicile and Citizensnip ~
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' ~ 414968 .
~ TO TlIE CI.ERK 0~'1'~IE CIRCUI9' COUItT. . . ~ !
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~ ST. lUC 1 E Cput~rl~Y~ Fi,ORtoA: ~
TAi~ b my dai~raiion of Ua~~~tc L~:i~c:~sh~~ ~R tl+~ State of Florid~ that 1 am filin~ this day In aeeordaace, and in
contormily wtth Sectioa 222.1T. Fb~ida Statutes.
I wa form~rl a Mga~ reaide~t ot ~O/? f~ ~ f~F'~t/ ~ O.C~ and I
ICit~l ISeat~)
resided st ~~0~~ vf~ ~V - Howcver. I h~ve ehiu+ged my domici}c to ~
l3wat aad Nwo0erl • . tt
and am and hsve been a Dona C~de nsident ot t~e State of Florida ainee Jv~ y ~ 9 77 day ot
-19 - and t ceside d ~o~ ~ /UJ27/~ ' /G ~ ~r .
- IStnet aod Nuab~) - .
~FR'~ ~ ST . lUC I E Couatr, Florida.
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and this statement is to be takea aa my declantion of eilizen'ship. aetual kgal residenec and don~icile in ths State ot Florida.
IF FOR TNE PURPOSE OF ENROLLING IF FOR HONESTEAD PURPOSES~
CNIIDREN IN SCHOOI~ PLEASE STATE PLEASE CHECK: ~
• TNEIR NAHES:
f LEO ANO RECpROED
S~. LI~C~E COUNTY FLA.
ROCER POITIIAS .
C: EP.K ~tRCtJIT CCtI!l~,,~
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. . a~c z~ 3 03 PM ~~8 ~ ,
414968
I FURTIiER CERTIFY that I w~t register at my local addcess when the registrstion books reopen. and comply ~vith sU
other requircments ot a Icgal msident ot this State.
I FURTIIF~ CF.RTIFY that I have no intFntion to return to my tormer domicile. and I intcnd to remai~ in
• S7 L U C I E _ _ County.
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• ICic~l . ~ 3
Fbrida, permanenti~ . ?
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Sworn to ~nd subscrib~d t?cfore mc lhis ~ day o[ - i
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. A.D.19. 7 8 :
ROGER P I TRAS. CLERK OF C IRCUI T COURT
ST, LUGIE GOUNTY, FLOk1UA ~
~ 8Y s - BUJI~ ~~7~7 PAi,E 32p -
31 f L,~ .
EPtlTY L£R'K ,
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AC.O Form 91 #
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