HomeMy WebLinkAbout0828 . D~claration of Qomicile and Citiiensn~p
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TO TEIE CLERK OF THE CiRCUlT COURT. , ' • ;
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' ST. lUC1E
COUNTY. F'[.ORIDA:
Tbu b my declarstioa ot Domiciie and Citisea~hip fn the State ol Florida tlu?t I ~~a tGaa tlds day ie aecordance. and in
co~atormity rvith Section 2~.'.27. Fiorida Ststutes. ' ~
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I ~?u to~ a kgal tesident of ~ ' ~ 1. : ~ ~ _c f~a r ~ _ • f
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ttisided at - ~ - e _ t -C ~ -t .i iC ~ . - However. I bave changed mp domieik to ~ '
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aad un aed h~ve beea a bocu Cede re~ident of the Stata ot Florida since i? j~ ,L5 dar ol .
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_F ,,~`.e c E. ~ ST. LUG 1 E Couatr, Fbrida.
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aad this statetaent Is to be taket~ aa my declaratioa ot citisenship, actual kgd tcsideaee aad domia7e ia the Stde of F'lorida. ~
.IF i'OR TNE PURPOSE OF ENROLL~ING F+L~R NOMESTEAtI PURPOSES~
' CHI~LDREN IN SLM40L~ PLEASE STATE PLEASE CHECK2 ~
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I FURTllER CERTIE'Y that I will register at rr~r local address when the registntion books reopen. aud comply with all
ot6er requirements ot a Iega1 resideat of ihis State.
I FURTIIEZ C~,B}tTIFY that I have no inttation to return to my for~ner domicile, and I intend _ to remain ia
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Sxorn to d subscribcd before me this day ot t_-c~~;..-~,-~-
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ROGER_ P Ti2AS„CLERK O~' C IRCUI T C4URT
~ST. LUGfE COUNTY, ft~ 1UA •
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• EPUTY LERK ' ;
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Af.O }'orm 71 .3
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