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HomeMy WebLinkAbout1433 l.~E:L'Ir~f~dtlV~ Ui uc„~er~:a~~ car ~u v~`~~~'~ r~~ o~N , TO T1iE CI.EIiIC OF T11E CIRCUIT COURT, 43Q5fi1 ST. LUC.I E COUNTY, FLORIDA: This is my declaration of Domicile and Citizenship in the Stale of i•'lorida that I am Ctling this day is accordance, and in conformity with Section 222.1?. Florida Statutos. j 1 wasformcrly a legal resident of ~O 5 Lys ~ A~~ - - ~ ~ / and I / / lCitr) Istats) resided at SO b T H f ©A ~ S . However, I have changed my domicile to (Surat and Numtr•r) and am and have been a bona fide resident of the Slats of Florida since ~ ~d day of ~1 A ~ Fl t`~ ,19~ and I reside at ~ ° (3trest sad Nutnbsr) J E N 5 E C} i ST . L UG I E County. Florida, (Cit~l and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. IF fOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPO~SES~ CHII.OREN IN SCHOOL, PLEASE STATE PLEASE CHECKS I \ / ~ THEIR NANESS ~-1 4` ~r G*Z7 itFCOROEC ; ' ~ i • ' ` ` '79 ~ 12 PM 1 : 4 `I I FURTHER CERTIFY that I will register at my local address when -the registration books reopen. and comply with all other requirements of a legal resident of this State. I FURTIiE;t CERTIFY that I have no intention to return to my former domicile. and I i»lend to rcmxin in _ ~ T . U C I E ~ County. ICit~) Florida, permanenti; . . 6 E . J f.__..Y . _ 5Fti ACM ~ C r 's (Address) j~ ~jr ~ t Sworn to and suhscri)xd beforn me this ~y day of r . A.n.19_ 79 ROGER P I TRAS„ CL_ RK OF CIRCUIT COURT ~ ST . L UG I E COUNTY, F LCN21 UA ~ - • Y' ~ EPUTY LE ~ k . ~/~Q ~ j s} Q t R v r • 1, Pr. ' i A(:U Form 71 ^2 i