HomeMy WebLinkAbout0329 D~claratior~ of Domicite anq u~t~z~nsr~~~
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TO T~~E CL~EtK OR TNE CIRCUIT COURT. ~ 41~~ ' • ~
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N:.^.; ar:~~*,E~+~±•_+t t~ml~ile and Cjtfsenship in the State ot Ftorida that I am Wing this day in seeordanee. ~nd in
tontorn~itr Mrith Scetan 2~.17. Florida Statutes. '
I was torm~rl1? a kgal nsida~t ot 1~ r.~ snd I
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rosided at ~ ~ j ' , Howsver. I have c1?anged my domieile to ~ ~
19trs+t ~ad N~maet! .r'~)
and am ana l~av~ been a bona fids resident of the Sta?e o! Fiorida ~inee _ day ot
19~~u,d I rrsida at l~ ~~l~'t)~(~t1 a~ /C " .
(Stn~t asd N~~ob~r1
• ~ % • ~tn,~ ~ ST. LUC t E Couaty. Fbrida, :
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and lhis statement i~ to be takea u my dectaration o[ citiunihip. actual legel r~sidence and domicik ia tbe State of Florida. ;
IF FOR THE PURPOSE Of ENROLtING IF' fOR NOHESTEAO PURPOSES~ '
CHlIDREN IN SCHOOL~ PLEASE SrATE . PI.E/lSE CHEGK: ~
' THEIR,NAMESS •
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f i.[0 U!p RECpiiDEL
i~• luCtE COt11fT1' Ft~.
. ROCER fOiTRAS
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I F'[JRTIiER GERTIFY that I w~! registcr at my local address whe~ the registration books reopcn. and comply with atl
other requimmcnis oi a lcgal residenl ot this State.
I FURTIIC~ CERTI~Y that I Aave no intentior? to return to my former domici{e. and 1 intend to rrmain in
~ ~ $7 _ L UC t E _ County.
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Fbrida. permancnti;.
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(Addrew)
Svrorn to and subscrihrd beforc mc this day oi
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RC~GER_ 1 TRAS, CLERIC nF C IRCUI T COURT ' :
ST. LUG! E COUN7Y, F~~ tU -
BY: r ~ ~
EPUTY LERK '
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