HomeMy WebLinkAbout2117 ~~~lara~l~n of ~~nr~C~i~~; and Ci~r~~n~h~~ ~
TO TI11: CI.E:IiK t)F TNE: C1RCl1iT COURT,
ST. LUC 1 E COUI+ITY. E'IARIDA:
Thls is my declaration of Domicile and Cittzonship is the Stets of Fbrida that i am Cling this day in accordanco. and in
conforn~ity with Section 222.17. Florida Statutes.
I was tormerl a legal resident of Lo~~S p0~~ ~,~~9~~ and I
`~A 1 tc~crl ts~at.!
resided at zD~d sT~ . However. I love changed my domicile to
(Strost and NwaOK)
and am and have beeA a bona fidA resident of the State of Fbrida sines ~~r~ day °I
~UL~ -1~ . and I reside at
tSttwt sad Nnrbed
~/f~ /~/~~E' _ ST . LUG 1 E ~ County. Fbrid:.
lacy)
and this statement is to be taken as my declaration of citiaenship. actual legal residence and domicde in the State of Florida.
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OR TNE PURPOSE O_ F ENROt.I 1 N6 I i fOR HOMESTEAD PURPOSES,
CNIIOREN IN SCHOOL, PIE/lSE STATE PLEASE CHECKS
THEIR NAMES:
• - ctL.EO ATID RECDRDED'•
_L:~ Wit`- C~ cRtFtED A~~
I'. T ~ ~J~
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*~g f EB 2 PM ~ . ~31
9~~
F_RK C:gCCIT CQ~:RT
I FURTHER CERTIFY that I wdl register at my local address w hen the registration books reopen. and comply with all
other requirements of a Icgal resident of this State.
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' I FURTHER CERTIFY that I have no intention to return to my torn~~?er~'e~
k. and I intend to .remain in
J ~ . ~ v ~ ~ ~ ,County.
I tray)
Fbrida. permanen~i; .
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'lea:.-a:`~.. ~ ~ ~ lA~ddre~r)
i Sworn to and sul?..cribed be[ore me this ~ day of -~-4.. 7 ~T,~.-=
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Qom..., _ a.u. ls_
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ROGER POITRAS. CLERK OF CIRCUIT COURT
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ST. LUGIE COUNTY, FL0RIUA
BY: -
EPUTY LERK ..F
b~ 302 2fi17
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