HomeMy WebLinkAbout0347 Deciaratian of DomiCile and Citiz~nship
~ 424221
TO TtIE CI.F:RK OF THE CtRCU1T COURT. ~
_ ST . L UC i E COUNTY. E'I,OItIDA: ~
This is my Jeclacation ot Domicilc and Citaenship ia the Stute ot ~lorida thxt I am Cling thts dar in aecordsnco, t~nd t~ ~
contormitp with Section 272.17. Florida Statutes. _ }
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1 wu [ormP~l a kgal msident ot ~t l~- fL and I ~
~car~ tse.~.~ ~
residcd at . Nowever. I havc cbanged my domieile to ;
(St»~t aod Nw~Ded I , ' ~
and am a~d have been a boaa tide resident o[ the 5tato ot F 3orida since w day ot ~
19!~."
- and i ce~ido at ~ ~
~ (Stre~t ~nd Nnmber) ~
~ S1'. Ll1G 1 E County, Florida, ~
~ ICitTI
nnd this statement is to ba taken a~ my declaration ot citizenship. ~ctual lesal re~idenee and domicile in the Sisle o[ Flarida. •
IF FOR TNE PURPOSE Of ENROLIING IF FOR HOHESTEAD PURPOSES~
CHILOREN IN SCHOOI~ PLEASE STATE PIEASE CNECK: ,
THEIR NAMES: +
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~ ' yo aECOROEO' ~
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I FURT1IEEt CERTIF'Y that 1 will register at my local address w•hen the registration t?ooks reopen. and comply M ith ~11
other requimments of a legal resident ot this Stnte. .
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I FURTHF.;t CERTIFY that I havc no inttntion to return to mv former domicilc, and I intend to rnmain in ~
~ . U C 1 E . County.
, (City1 .
~ Florida, perma~enti;. ~
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~ ~w•orn to nnJ sui~s~ribrd bcfore me this ~tnr of ~i. G/ L '
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A.U. 19. / ~ •
; F1QC~ER_POI TRAS~ GLERK OF C IRCUI T COlf2T `
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~ ST. LUCI COUNTY, FLORtUA ;
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