HomeMy WebLinkAbout0538 _ _
ration of Domicile and Citizenship ~
Decla ~
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TOTHE CL>rRK OF THB CIISCt11T COURT. - - ~ : , • ~ . ~ t:.. . ~ ' , - - .
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ST. LUC 1 E t~OUNTY. FLORIDA:
- This b uyr declaration of Doanie~e and CitisensbiP ~ tM State of Florida that I ~m tiUnt this dal io aeoordaaee. and ~
with $eetioa 222.1T. Florida Statutes. ~ .
_ iV , ~~aad ~
1 was • 1eta1 resident o[ ICk71 1Rc•W
' However. I haw ebanaed eqy doa~ie~e to '
resided at Ne.D.d ~ .
day of
and am sad Dave been a bons fide resident of the Stile os Florida since
19,~, aad I reside at ~ O ~ ~ y~~
~.~aHra~e..t
'~J. t' S ~ i Q - ST . LUC 1 E County. Fsodda.
lave _
and this ststemcat is to be taken as my declaration At citisanahip. actual kgal resideaa and dotnia7s in the State of Florida.
~ f fOR THE PURPOSE Of ENROLLING ~ f fOR HOiIE~TEAti PURPOS€S
CHIt.OREN IN SCHOOL, PLEASE STATE - PLEASE CHECKS
THEIR NAMESS
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I DER CERTIFY that I wn11 register at my .local address when the registration books reopen. nail comply v?ith sU
other requirements of a kgal resident of this State.
I }`jjR'PIiER CERTIFY that I have ao inteauoa to return tom former dotnit3le. and I intend to nC
i aty.
~o~~"S f. ~ . - - _ ~ Luc E
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Fbrida. pernunend~ . '
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Sworn to and subscribed before me this ~..-day of ~,a '~`~Y
_.._--i -
ROGER P01 RAS CLERK OF CIRCUIT COURT
ST.- LUG I COUNTY, f >rOR 1 UA
BY: - ~ ~ -
EPUT Y L ii00K~~ PACE 538
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