HomeMy WebLinkAbout0076 ~~ctarati~~ of Domicit~ and Citizenship y~
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TO TNE CLERK OF' T}~E CIRCUIT COURT. '
ST. L.UG I E COUNTY, FiARIDA:
This is my decl~~ation ot Domicile and Citizcnship in the State of Florida that I~m filing this dsy ia aecordance. and in
eontormity with Section 222.1?. Florida Statutes.
I was tormerl a legal resident o[ ~ v~~+ v' ~ v`~~ e . ~-'J ~U~ ~ and I
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~ resided ~t 5~~~ R c~ ~e R~ v G .~Iowever, I have changed my domicile to
(3tmt aad NumEsr)
and am and have been a bons Cde reside~t ot the State of Florida ainte A~~~ day ot
MARC.~ .19~~ -andIresideat ~`f2-~ S,E 6~~ki~v~nh 0.c+nc ~
(Stre~t ~nd NumDed
1~0 ,.T S T. v~~~ - ~ ST . L l1C I E County, Florida.
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and this statement is to be taken as my declaration oi citizenship. aetual legal residence ~nd domicile in the State ot Florida.
I~ FOR THE PURPOSE OF ENROLIING IF'FOR HONESTEAD PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PIEASE CHECK: ~
THEIR NANESr• . '
~~e~AiRa I~. ~-~e_pTA - .
FILEO ~ND pECORDEO
- ST.IUC~E COUN?Y FIA.
• ROC~~ P011RA5 ~
CLEPX C'P•~UIT C' !R
S~P I i 12 3i PN'1$
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~ I FURT~IF.R CEFiTIFY that I will mgister at my (ocal address when the registration books reopen, and comply with all
~ other mquirements of a legal residcnt of this State.
I FURTIiF.:~ CF.IiTIF'~' that I ha~•c no intentiun to return to m~ former ~lomicilc, and I intend to remain in
7. U C I E , County.
ICityl .
F'lorida, pcrmancnti,.
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~ Sw•urn tn nnd sub~cribrd hefore me this day of S T.~ .I C. i T_~, U?- A
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.A.D.19_ r~
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~ ROGER P01 TRl+S, CLEf?K OF C IRCUI T COlk2T -
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ST. LUC I E CdUNTI', FLOR 1 UA -
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~ ~ o~ox 294 PAGE ?6
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