HomeMy WebLinkAbout0346 vec~arat~on or u~micii~ ana ~~~~zensnip u'
41Ei`79~
TO TNE CLERK OF THE CIRCUIT COURT.
ST. LUC 1 E CpUN'Py, FLORIDA:
. i
This i~ my declaration ot Domicile and Citiscnship in the State of t'lorida tAat I am filing thi~ day in accord~nce~ and in
eontormity with Sectioe 271.1T. Florida Statutes. '
~
1 was (ormerl a legal resident ot s~ . , 1~") c~ _ and I
(Cit~) (Stat~)
resided at .3 c_m~ ; rw.D~r~ However. I have changed my domicile to
(3tre+t and NuoMr)
aad am ~nd have bcen a bona fidc resident ot the State o[ F'lorida since ~ day ot
r .19Z$.. and I reside at ~ L j } r ~ _ H ~
' : ~ c'7 (sereec Number)
~i. 'r ~ ST . L UC I E Couaty. Florida.
lcn~l
and this statement is to be taken as my declaration of citiz~nship. actual legal residence aad domicile in the Stute of Florida.
IF FOR 7HE PURPOSE OF ENROLIING IP FOR HOMESTEAO PURPOSES~
CHIIDREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~
THEIR NANESI
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~~~j ~ 4 V' ~ _ ~,~[>>1,~% v
~ fILE~ RN~ RECOROEa .
ST ~uC~E CouM1r Ft~
ROCER PO~T~+~S
CIEpK ;'~CUIT C ' 4
- • cr.
SF~ 12 12 2o PH'78
41fi'794 ~ ~
~
~
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f 1 FURTNER CF.RTIFY that I will re~,rister at my local address when the registration books teopen, and comply wilh all
~ oiher requirements ot a legnl resideot ot thi~ State. -
~ I FURTEIE::t ('E:RTIFY that I have no intrntion to relurn to m[ormer domficite, and I intend to remain ii~
€ _ , T U C I E . County.
ICit~l .
Florida, permanen~i; .
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Sw•c~rn to and ~uhscribe•d before m~ this _L_ day of f.~.t-~
.y ~ ,
; , A.U. 19. 7 8
~ ROC,ER POI TRAS, C~EF?K_OF _C IRCUI T CUtk2T
~ •
~ ST. LlK 1 E COUt~TY, F ~OZ 1 UA
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~ aY:
~ ~EPUTY ZLERK
~ . PAGE 346
~ ~ F 294
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