HomeMy WebLinkAbout0855 , D~claration o.f Qomicil~ and Citizenship ,
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~ TO T1IE CLERK OF THE CiRCUt'1' COURT. , ' • ,
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' ST. LUCIE
cou~r. FLOnro~:
This la my dal~?ration ot Domicite and Citircnahip in the State ot Florida that t am Gl~ng this day fe aecordaace. and in ~
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~~?nfnrmitr ~ItIA Setl10A ~Z.1T. Florida Statutes. ' ;
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I~ras form~rl a lcgal n~id nt ot ' ~,uud t
. ~cur~ ~se.a~
resided ~t However. I tave chaeged my domicile to •
lJw~t wd Numb~ri
and ~nd have been a bona tide tesident o! ihe Statc ot Florida ainee • day ot
C~ • .
19~. aad I reside at ~
- (Stnet ~wd NuioDer)
. S7. LUG I E Cauntr. Floria.,
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snd this statement'is to be t~lcea u my deelaration of citizenahip. actuat kgal reaideace and domitile in tbe State ot Florida. ~
If FOR THE PURPOSE OF ENROLLlNG IP FOR HONESTEAD PURPOSES~
C QREN IN SCHO ~ PLEASE STATE p~EASE CHECK:
~ NEI NAHES: , ~ ~
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~tIC1E C4~NTr Fi~,
OCER ppITRAS
~.t f~ ' ~ FRR ~;RCUIT ~ T
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1 F`URTHER CF.RTIFY that I w~71 register at my bcal address when the registration books reoQen. and compiy v?ith all
othcr requircments o[ a Mgal resident of this Statc.
TIIE, ~ZTIFY that I have no intention to return to my former domicile. and I intend to rema+n ia
~.~.C-G4 G~ ~ ~ ST . L U C I E . County.
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Florida, pcrmancnti~ .
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Sworn to and subscrihcd beforc mc this a~_ day o! i~ •
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RnGER POf TRAS, CLERK OF C IRCUI T COU2T ~ ~
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ST. IUCIE COUNTY, FlOR1UA ~ ~
BYi `
EPUTY LERK '
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~oOK ~ PAGE V1~
AGU F'or~e 71 '
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