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Decl~ra~~~~' ua~~~~ciae inn ~o~~~~n~a~~p ~ ~ 4:;~U29 TO TIIt•: CGEIiK Ob' THE CIRCUIT COURT, ST. LUG I E couNTr, FLORIDA: This is my declaration of pornicilo and (:itizenship in the Stato of Florida that 1 am filing this day in accordance. and in conformity with Section 7.17, Florida Statutes. I wns formerly a legal resident of and I tCit (State! resided at h'! However, l have changed my domicile to (Street and Number) and am and have boon a bona [ids resident of the State of Florida since ~ ~ -day of g P C 19~~ and beside at ~ y Z . ~lL ~ ~ Y~ v^T (Street and t:umber) C_ ST . L UG I E County, Florida, • l(~ty! 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 PURPOSES, CHILDREN IN SCHOOL, PLEASE STATE PLEASE Ctt£CKS THEIR NANESS . r - - 431029 rig 17 A!! i~:51 _ I FURTHF:K CERTIFY that I will register at my local address when the registration boots reopen. and comply with all other requirements of a Icgal resident of this State. I FU1t'::tE:l CERTIFY thrt I have no intt•ntion to return tom former don~ic~le. and I intend to remain in 7. U C I E .County. (CitTl . Florida, permanent i; . i i F s t • rj ~ T~ J 1 ri~~i ,7 i. _ i _ ¢ r ~ • ~ rl ~ . • (Address! i Sworn to nnJ suhsrribc•d before me this ~ day of ~f L O V ~ ' a- - ~ . A.T). 19_ 79 ' ROGER .Ynl_TRAS, CLERK OF'_G IRCUI T COURT I ST. LUGIE COUNTY, FL~21UA ©Y: . r . Q EPUTY LERK ~ ~ 3U1 ~18fi F gOG~4 r: `E I. . AGO E'urm TI 7~ ~ - - Y, t 4 vY'