HomeMy WebLinkAbout2942 Declaration of Domicrie area c~rtrzensnrp ~
43.3`74
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ST. LUC 1 E OOUNTY. fi,ORIDA:
This b ay? deelaratio~n of Domicile and Citlsenship is file State at Fbrids that I as ~ tbi iq is aooordaaa. aad is
coatormiq wSb Section 222.17. )`'bride Statutes.
I was t e a leEal raida~t vt 1?E W O~ ~G ~ u 4~'~ a>M1I
tpgi
resided st ~ / o v~ ~E _ OO~I L - So~s~erse. I haw chested s~ do.ieik to
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and am and haw bees a bona fderesident oftheState di;7odda aina - ~i xS~ ayr el
~ ~ 1l.L9._.aldIrasidsat 3 =f- LAKE~~/ ~ S'T aD~/?c
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Po~Z T . L V ~ I ~ - _ ST. LUC I E p,,,4,, tea, -
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aalthisstatement b to betaken a m0r dxLrst3on oI . aetwl kp1 reeidsaee sad dosaieiM i• the State dFlorida. -
IP.FOR THE PURPOSE Of ENROLLING If FOR NOMESTEAO PURPOSES,
C-H I LOREM I N SCHOOLS P<.EA8E -STATE 1r~EASE CHECK!
T-HEIR NANES: ~ -
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`FILED AND RECOP6~? _
ST. L'~!C!E COUNTY: FLA.;
' . ~ L ~P.p VERIFIED _
- .43.23'74 .
. - - '~9 FE8 8 AM 1Q : 36 -
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. ~ CLERK CIRCUIT COURT -
I FTIRITIER CERTIFY that I will register at nqr local address when the rsgistratios boob scopes. asd eomplT with an
other requirements of a legal reside>n of this State.
I FURTHER CERTIFY that I have ao intcntion to retnra to fa mer domin'k. aad I iotwd to remain in
U C t E Connt~.
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~ Florida. permanently
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Sworn to and subscribed bctore me thL day of - ..,..r ~
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1-----~-c , A.D.19_ ~ / .
t RQ~fR P01 TRA_ S, CLERK OF CIRCUIT COURT
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' ST. LUGIE COUNTY, FLORIDA
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BY:
- EPUTY t.ERK
0 R ~ PACE
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