HomeMy WebLinkAbout0321 . D~c~aratian of Qomicile and Citizensn~p
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• TO THE Ci.ERK OF TtiE CIRCUl1' COURT. . , ' :
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' ST. LUG 1 E COUNT'Y~ E'[.ORIDA:
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?nis u my ~~:~.:::;:.a at L*~^:!riir rit~r~n,hip ie tAe State of Flocid~ that I am tili~a thL+ dar in aceord~nce. ~nd in
contormity ~ith Seetion 2~.1T. Florida Statutes.
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I was form~rl a lrgsl resident ot 8/~O O l~ G S/ ~C.~ ~/~G[/ L~~~ and 1
I~:u~l fSut~)
rtsided ~t ~~~Sr ~~f r -S . However. I luve changed my domicils to -
l8te+~t ~od Numb~eri / S
and am and have been s bona Gde resident of t~e St*te of Florid~ since day ot
~ ~ ia~ ~ Ms~ae sc ~ ~e~. ~~',~,e~'1'1E-r ,r.~.c' .
(sc~.e .aa Nameer)
~,f' ~ s T'` .-~cr~t/E ST. LUG 1 E Count~. Florids. ~
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1Gt71
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and this statement i~ to bc takeA aa my declaration oi citiun'ship. actual kgd re~idence and domic7e in the State oi Ftorida.
IF i'OR THE PURPOSE OF ENROILING Ii iOR HONESTEAD PURPOSES~
CNII~REN IN SCHOOL~ PLEASE STATE ~ PLEASE CHECK: ~
• " TNEIR NANES:
ST tUC
E COUNTY fLA.
ROCER POITRA
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I FURTIiER CERTTFY that I wiil registcr at my local address when the regisiration books reopen, and comply with all
other requircments o[ a Iegal tesident oi Lhis State.
I FURTIIE~ CF 1iTIFY that I have no intcntion to return to my former domicile. and 1 intend to remain in
~c~,~' .,f ~`c,.~i ~ ~ ST . L U C I E _ ~ County.
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Florida. permanenti; .
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Svrorn to ~nd subscritrrd before m~ this 2 5 day ot ,~C%+~ ~-s7~ -~~-t''~ f ~ G~~
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ROGER POt~TRAS, CLERK OF C IRCUI T COURT
ST. LUCIE COUNTY, FLORIUA ~
Bv s .G(,t' .
- . EPUTY LERK , ,
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AGO Forn~ 7!
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