HomeMy WebLinkAbout0102 C~~c~~r~ii~~~ a~ I~nrni~~a~ ~r~d ~ar~~~~:~~~~~
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7'O T1IE Cl.t:1tK Ot' THE CIRCUIT COURT. ~
ST. LU(:1 E Cput~ry, t`WiiII~A:
This ii my drelarntion of Don~icile and Citiaenahip in th~ SUte ot Florida thaL I am Cliag this day in aecordAnco. arxl in
contormily wilh Sectiun 222.17~ F lorid~ Statutoa.
1 waa (orm~~ a leg~) tesidcnt of ~ w alZ. ~ ` and I
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rcaidc~d et 2~~ v - llowmrer. I havo chanRed my domieilc to
T~-$te~et ~od NumD~r) _
nnd am and have becn n bona fido resldenl o[ Lhe Stalo of FloridA sinco • ~ ~ ~ 9 7~ der ot .
19 -andIresidcdt ~aqd~~~'1,• ~ ~
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A~ ~~~s, L-~ e _ ST. LUG I E ~ CouAcy. Ftorida,
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and this atatement is to De taken as my declaration o! cillzen~hip. ~ctual itgal raidenee and domlcile in tho State of FbriJn.
IF POR THE PURPOSE OF fNROllikG IF i'OR HOHESTEA~ PURPOSES~
CHILOREN IN SClIOOI~ PLEASE STATE PLEASE CHECKS I~
t Fi E 1 R t~ A M E S 2
=1t_ED AND RECOROED
. . i:^UF:TY. rLa.
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tis n~c y~ i~ : 3a
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I FURTIIER CF.RT1b'Y that I will rcgister at my tocnl address when the registralioa booka reopen, and comply with all
other requirements of a legal resident of this Stde. ~
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I I FURTHF.~t (:F.RT1F'Y thst 1 have no int~•ntion to return to my torm~r domicile. ~d I intend to remnin in
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~ Sw orn to and ~ubscrilx•d bcfurn me ll~is day oI ~D, ~-,~.r, F.! V C- Le~~ a 3 3`fS Z
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~ ROG~R i'nI TRAS~_CLFRK_OF C IRCUI T COURT
~ ST. LUC I.E COUNTY, FLOR i UA
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