HomeMy WebLinkAbout0556 Declaratior~ c~f [3orr~~cile and C6tizenship
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TO Ttil~: CLE1tK OF T1~E CIItCUIT COURT. •
, ST. LUC i E COUtv~rY. FLORIDA: .
Thu is my deelardion ot Domicile and Cit~enahip ia the State ot Florida lhat 1 am C~ltug thts da~? in aeeordance~ and in .
oonformity with S~.~clion 222.1T. Florida Statute~.
~ I Mu fo,rm~erl s legal resideatot ~A~-'Et C~l~-l _ N~RTrt ~c[-i.~a. and I .
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residcd at 'S W~L M~' - However. I luve changed my domicila W
(Stie~t ~ad IiumD~sl ~
and am and have been a boua fide resideat o[ the St~?te ot Florida since ZS - day ot ~
~Uc1 ArrL{ .19 - aud I eeside at ~tl ~ ~~e~a~~L~ ~e-
(St~wt ud Nuo1bK)
l' Q~ e c~ ~ _ ST. LUG I E Councy. Florida.
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~nd lhu statement is to be taken u my declar~tion oi eitiaena6ip. ac+.ual legal rasidence and dowieile in the State of Florida.
IF F'OR TNE PURPOSE Of ENROLIING IP FOR Ii0NES7EAD PURPOSES~
CHILOREH IN SCHOOL~ PLEASE STATE PtEASE CHEGKS ~
THEIR NANESS
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I FURTHER CF.RTIFY that I wt71 register at my local address when the registration books reopen. and compty ~vith all
' other requirements of a legal resideat of this Stste. ~
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~ I FURTIiE~ CERTIFY thst I havc no intention to return to mv former domicile. and I intcnd to remain in
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~ Sworn to end subscribed betore me this day of p~ e!2-C~- 3~`~ 5~
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~ . ROGER POFTRAS CLERK OF C IRGU{ T COl~2T
ST. LUGIE GOUNTY, FLORIUA • •
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