HomeMy WebLinkAbout0081 Declaratian of Domicile ~nd Citizenshi ~ ~
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TO TNE CLFRK OF TNE CIItCUIT COURT.
ST. LUG 1 E CpUNTy~ E'1,ORIDA:
This is my dcclaralion ot Oomicile and Citizenahip in tho Stato ot Florida thdt I am t'iling this day in aceordance. and in
eontormity with Section 222.1T~ Florids Statutca.
1 wu tormPrl a kgal resident of 1` ~ ~ ' and 1
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resiJed al ~t ~~r,1~~ ~~y C~ S l.E ~ - Nowever. I have cha~ged my domicile to
ISteret aod Numba) ~
and am and hxve been a bons Cde resident ot the Stete o[ Florida si~ce day ot
7 i
.19.~. end I reside at ~6~ S! " ;
~ ~ (Street
wd iVumber)
~ ~ t- .TT~ r c~ ~ s T. L i1G 1 E co~ocy. Flurida.
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and this statement is to he txken as my declaration of cituenship, actual legal rc~sidence and domicile in the State o! Florida.
IF ~OR TNE PURPOSE OF EMROILING IF FOR IIOMIESTEAD PURPOSES~
CIIILPREN IN 5CIi00L, P~EASE STATE PLEASE CHECK:
THE 1R NAltES: 1 .
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418486
I F URTHF;R CF.RTIFY tbat I will register at my locel address w•},;;n ihe reRistration bouks reopen, and comply wiih all
othcr requirem~nts ot a kgal resedenl of this State. ~
~
I FURTHF;;t CE[:TIFY th~t 1 h~ve no int~-ntion to return t~ mv former domicil~, and I intend to renivn in 4
, T. U C i E . County.
lCit~) . ~
Florida, permancnti, . ;
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Sworn to nnd suhscril~ed bc[ore me this ~ day of t
.A.D.19.7~ .
~
ROGER POI_TF2AS,~ CLERK OF C IRCUI T COU2T
ST. Ll1C I E COUNTY, F LOR 1 UA ~ ~ 4:
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