HomeMy WebLinkAbout0581 . C~~ctar~t~on af Da~~c~le and Ci~ix~nship ~
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TO TNF: CI.EttK Ot THE ClltCUIT COURT.
ST . L UG I E COUNTI'. FI.ORIDA:
ThL~ ~c my declaratio~ ot Domicile a~d Citizc~ahip in the Stnte o! Florida thal 1 am Caing this dap in secorda~ce. and in
contormity a•ith Scctioa 2~.1~. Florida Statute~.
I vras tormcrly a kga) cesidenl ot ^,~,•LLM n'~"-~ . L~ and I
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residcd at 7~ ~r~ ~ . NowevQr. I have ehanged my domicile to
(Stre~t and Number?
and am and havc bee~ s boaa Gde resideot ot the State ot Florlda since ~ M~ /n r~ day of
_ 19~,~.. aod 1 reside at
1Streei and be*1
' ST. LUC 1 E County,Florida,
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and this slatement is to be taken u my declaration ot citizenship. actuai legai rraicienca ~nd domiciie it'i Li~e State c~f ~i3:i~.
I F FOR TNE i'URPOSE OF E!lROLL 1'i~G I F FOR HOMESTEAD. PURPOSES~
CHIIDREN IN SCNOOL~ PLEASE STATE PLEASE CHECK: ~
THEIR r~ANES:
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I FUItTj[F:R CERTIFT thnt I will reRister at my tocal nddres~ when the registration books reopen, and comply with all
other rcquirc~nents ~f s legz) residenl of this State. .
i I URTiiE,t CERTI Y ihat I}:av~ no intrntion to rE•turn to mv iormer domicile. and I intend to remain in
~ . U C i E . County.
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Florida, permanenti;.
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~ f20GER P01 TRAS, CLERK OF f. IRC,UI T COU~tT :
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~ ST. LUCIE COUNTY, FLORtUA :
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