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HomeMy WebLinkAbout1432 43056Q TO'1'I lF CLh:1tK Oh"I'lll•: CIRCUIT COURT. _ ST , _L UL 1 ~ _ GOUNT~', 1•'I.ORI[):'1: This is my declaration of Domicile and Citir.~~nship in the State of Florida that I am filing this day in accordanco. and in conformity with Section 2.1T, Florida Stutuiea. I;, Oceans '?e ~'-,li andl I w as formcrl a Ic .1 resident of ~ (State) ' ICitpl i resided at ^ 733 Art i~ur A~~ _ . IlotAever.I havo changed my domicile to (Street sad Numbed ~ and am and have been a Iwna fide resident o[ the Stale at Florida sinco _ day of 1 nsi t t+..+~i Y1Q A•r~ ?t• ~ Pi n~'r~n J.~n ,19 79 . and I reside at ~ (Street and Numbed _ ST . LUG I E County, Florida, (CitJl and this statement is to he taken as my Declaration of citizenship, actual legal residenco and domicile in tl~o State of Florida. IF FOR Ttlt PURPOSE OF ENROLLING IF i'OR HOMESTEAD PURPOSES CHILpREN IN SCHOOLr PLEASE STATE PLEASE CHECK: THE I//R NAMES: i Fll£D t.Nt1 RECORDED .._'!C1~ C~UN71', FLA. 43560 ~ e _ ~ t i 1 }iillTllElt CERTIr Y that I will ref;ister at my Ic.cal address when t}:e registration books n'open. and co~nEly with rll other requirc•mcnts of a Icgal resident oI this State. t E _ I FIJItTITf:a C~atTiFY thct. 1 h. v.r ro intcrliea to rc.urn to m~• f~rmcr dnmi pile. and I_ intend to_rem:~in in - - ----------.==r:~- ~:~-~~....W-~~7--~--~-UC t t; .Courtly, (Cdy)~ 1'lorida, pf•: marcnti, . ~ r-i 4 1 ~ S ~ i; i ~ v ~ Z~ _ /o ` • INanel } i 3 dJ, os~) ; tine: n 1•. ;;n~1 >:ul~i.cr,~• rl h~•:c~rc• tr,e this / Y _ cl.cy c,f ~ i o • r ~ _ V ;~~_,-~:_a~ i~;~i_~~.~~, _c.t_F_l;i; c!; _C1.~1ct.!_-r cat~~~r ,T . t t,t, ~ ~ c-. I .y _ t 1', 3 P 301 r-1427 s~r~c F~f,_ L - r ~ ~ ~ 'ate. _