HomeMy WebLinkAbout0774 ~~:~~~c~~~~~ ~ -
~ 4~0213
7'O TIIC Cl.L•'ItK nF T11E GIRCUIT COURT~
ST . L UG I~ COUNTY. FWRIDA:
Tl~is is my d~clarstion of Dc~micilo ~~d Citizonship in lho Stnto ot F7orida that 1 am Cling this day ia sccordance. and ia
conformity with Si~liun 2~.17. F'lorida Statutea.
I was torm~rly s lcgal resiJrnt o[ Odk Rid~~ ~ Tc~nnnc cpp _ and I
(Citrf (Statel
resided al 322 Vi7~c7ini 1 Road - ~ . llowever. l have c6anged my domi~;lc to
(3treet and Number)
and em And havc becn a bon~ fide residont of the State of Florida since •+t h i lC t ee nt h. daY ot
Octoher , lg 78 ,,,nd I res;do at 2860 ~~liltsh i re Terrace
(Su~eat wd Isuiat~er!
Port St. Lucie ~ ST. LUG I E County. Florida,-
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and this sletetnent i4 to ba teken as my declaration of cilizenship. actual legal residence t.~td domicile in it~e S:ate ot F'lor:da.
If FOR TIIE PURPOSE O~ CNROILING IF FOR HOMESTEAO PURPOSFS~
CNIL~REN IN SGHOOLj PIEAsE STATE PLEASE CHEGK: ~
THEIR NAHES:
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rl~~D h`~D U~CORDF~D
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- . 'Z9 JA~~ I o AM 9: 28
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I FURTIiF.R CERTIFY thal 1 Hill rc+gister nt my local address K-h~:n the reEistratiou bc~oks reapen. and comp:y ~•:t1z al!
otl~er requirements of a Ic~al residcnt o[ lhis Stat~.
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I FURT1iF... CF:IiTIFY th..t 1 ha~~c• no intention to mturn to m~v.~f.o~rmPr- dnr:~irile~ and I ititend to rPr,~a.in in
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Sv:urn tu a^d t:~h~,~~rf~~ d b~•fcne i~sc• tt.is _ day ot f •
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