HomeMy WebLinkAbout0227 Cl~c1~~~~ic~r~ D~~~dci~~ ~r~~ C~~i~~n~~ip
7'0 TIIF: (`.1.F:1tK OE' 9'IIF: ('IRGUIT (:OURT. ~ ~
~ ST!_ LUC i~ COUN7'Y. FI.OR[DA:
This i+ my dcclarution o( t)umicile ~nd (:itizcnship in thc Ststo of t'toride that I un Cling this d~y in accordanc:+. and in
conic+rmity with S~ction 2`~..''.lT, Florida Statutcs.
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1 was IormrrlY a)i•gs) residrnl of ~
t J 0'CiC.cw... ~ a/ I
ic~~,? lsu~a)
tesided at _.7~.~ ~t~~~-~~?c~~ , liowever. I have ehanged my domicile to
(SInM and Afumberl
•nd am and hev~ been a bona tide reaidcnt of thc SlRte ot Florida aince p~ ~ day of
- . 19 7 j, end 1 roaido at 1 7~ 7 liWt_~~ .
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~ ~.c~.. ~~tJ ST .-l UG 1 Es~.ua xu„?~?
- . Cuunty. Florida.
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tnd this ~tatement is to he taken a~ my declaratiu~ of citizcnship, actu~l legal residenc~s and domicile in lhR State o! Florida.
IF P4R THC Pt1RPOSE OF ENROILIkG Ii' FOR HOMESTEAO PURPOSES~
CHIL~REN IN SCHOOLj PLCASE S7ATE PLEASE CHECK: ~
TH~IR NANES:
Z.~w.?
No~r ~ 4 z0 PN'78
iit,~~U fE COU
T~Y.F~~,
CIERK~CIRCOj
COU
~Kt'Mt0 v~R?flED
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I E l1R?ITF;Et CF.liTIFY that I will re~;istcr at my local n~ldrecs when the registralion books rcopen, and rompfy with el!
other mqcirrmcnts o! a IeE;:tl resident o! this State.
I t'UIYCf1F:~ Cl~:R7'IF'Y thst i have nu intr~ntian to rc~lurn tQ my f~rnier domicile, and I intend to r~main in
=M;- :~-;.s:__ ~
J 7~_` _ U C I C County.
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Florida, prrmar~~•n~i~.
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Sworn tu and sub~~riterd t,r(ore m~ this day o[ Li/ ~~~.tk/ 7'd ~
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