HomeMy WebLinkAbout0998 . . . ~ ~ ~
Declarat~on of Dom~c~i~ and C~t~zensh~p
TO THE CLERK OF THE CIRCUIT COURT,
ST. Ll1C i E ~p~~y. ~,p~IDA:
TAis u my declantion o[ Domicil~ aad Citizcnship in the Statc ot Ftorida thdt I am Ciling thi~ day ie accordancc. and in t
conformity with Seclion 2~.1T. F'torida Statutea.. ~ -
I wss formcrly a lega! re~ident o[ z~ ~ ~ and I
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resided at ~ 5 ~ 5 . However. I have cha~gcd mY domicile tn
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and am a~d have bcen s bona Cde resideet ot the Stnte ot F7orida since day of
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~ .19~, and I reside at ~ ' J ~ - i
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~ t L L~~~t= - ST . L UG I E Couoty, Florida,
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and this statcment is to be taken as my declaration ot citi~enship, actual legal residence and domicile in the State af Florida. !
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IF FOR THE PURPOSE OP ENROLLING IF FOR HOMES7EAD PURPOS£S~
CHIIOREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~ ,
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fi~EO ~NO REcpR Fa
ST. WCIE COUNTY ~lA. 4 ~
aacER pOrTR~s
~~f CIRCUIT COURt
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o~T ~ r os P~ ~te
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I FURTfiER CERTIFY that I will register at my local address K•hen the registration books reopen, and comply with a!t
other requirernenis ot a legal resident of t1~u Statc. . F'
--I FUFtTI3F.:2 C~:KTIFY that I hare no intcntion to rnturn to m~ former domecilc, and I i:~tend to remain in
r. u c i e . C~,onty. ,
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E'lorida, E?crman~nti;. f ~
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Sx•nrn to and subscribed before mc this day o[ _ ~ L! r~/'T
..~~ti . A.D. 19. ~ C~ . t'..~-i.~~e.~ ~ `1 .
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ROGER PO I TRaS,~Ct_f.RK OF C IRCUI T COlX2T i=
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ST. LUC I E COUN7Y, F I.OR 1 UA ~ : 4
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BY: ~ #
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EPt/TY lERK
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. bOGKl~~7~J PAGE a7~71
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