HomeMy WebLinkAbout0929 . D~claration of Domicile ana L~tizensr~~~
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TO TttE CI.ERK OF THE CIACUIT COURT. ~ - . ~1~'~i
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' ST. LIiC t E ap~y. ~,p~~;
'Pab is my dcciaratkn ot Domietk aAd Ctti:enship in tbe State of Fiortda that I~m t~ling this day in aetordanee. sad tn
coatormitr with Sectioo 222.1Z. Fbrida Statutes. '
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I was to~ ene~ s kgal resideot ot GW M t i-- L S ~l,J,~ Lv ~/d ~2 j-~ and 1
Q lCit7! tStatd
nsided at L 3/3~_~
~P 5 J~t? /v ~ ~'0~ i~ - Howsver. I h~ve chaaged my domieile to •
(Sw.t ~ed lVam~Detl
and am and have Lean a bot~s lide resideat ot the State ot Florida =ince ,d„/ ~ diy oi
sl L' ,19~.. aad I raids at ! 7/_3 F< KH ~I~ T I~' -
_ (St»~t ssd i`utoberl
~O ~ i S T. v c,~ _ ST. I,UG t E Couac~. Fiorid~.
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and this statement is to be taken ~s my deelaration ot citi:en~hip. aetnal kgal residenee and domicile in t6e State of Florida.
IF FOR THE PURPOSE Of ENROLLfNG IF POR HOMESTEAD PURPOSES~ ~
, CN.ILDREN IN SGHOOI~ PLEASE STATE PLEASE CHECKS ~i-""~
` THE 1 R' NANES2 ]
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l(l~~~COUNTr f~R
- "IFRK Ep ~OItR~S
- _ R~tIIT COUR'
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I FURTI~ER CF.RTIFY that I~v~11 register at m~ bcal sddress rvhee the registration books reopen, sad compiy writh ail
other requicemeais ot a Irgal resident of this State.
I FURTIIEZ Cf,RTIFY that I have no intenlion to return to my former domicite. and I intend to remain ia
_ /~'~O~C T S i ~ C i~ ~ $T . L U C 1 E , County,
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Fbrida, permancnti; .
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IAddresa)
Sw•orn lo and wbscrilkd Aetore me this day ot /~o S T. L uc . E ~ F~- j~
~S.~Z
_ ~~-4--l- . A.D.19. ~ 8
ROGER P01 TRAS, CLERK OF" G iF:CUi T COU2T ~
ST. LUG 1 E COUN~II, F LOR i UA ~
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EPUTY LERK ~
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AGO }b~m 71
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