HomeMy WebLinkAbout0136 Declaratic~n of Domicile and cit~zensn~p ~
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TO THE CLERK OF THE CIACUIT OOUAT.
ST. LUG I E COVNTY. FtARtDA: ~
Tbb b my declaratbn o~ Domklk aad Citi:eusAip ia the State ot Flodda tLaat I am ~ this dqr Ia ~oeordanee. uid ia
~ontondty .~Ith seelion 2~z.lT. Florid. st.wte.. -
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I was to a le~al se~dent ot - t~(' ~s`~ S~`4 ~11___ aod I
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resided st ~~l ~ ~ ~iow~ves. I ha~~ el~naed a41? doailule to
l6vwt ~d N 1 ' ~ ~n'. r~ daj ot
~nd un ard bave beea a bona fds resideat o[ the State o[ F1o~ sinos
ig?
4- and I nside at ~L~.~ ~•~~`an~1~ ~ N~ ~ ~p12 Qnr~
v ° 18trwc a~d Nrsb~tl
Z~~~ Q'~~ ~c o _ ST. LUC i E county. ~a. .
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and thfs datecoent is to bs takan as aoyr dee4ntioa ot eiti~nsbip. actual kgal tbsidenos and domidk in ths State oi F'lo~da.
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IP.iOR THE PURPOSE OP ENROLLING If iOR-HOMESTEA~ PURPOSES~
- CHIIOREN IN SCHOOL~ PLEASE~s~ATE P~EASE CHEGK: ~
THEIR NAMES: .
~~.~C1t.~. ~ ~ ~ FI~EO AND RECORDED1
~ ,T, ll:CtE COUNTY. FIA:~
~ ~ - gr rORn VKR{Ft~D -
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'T8 f EB 9~ 36
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~ ~ ~ CI.ERK C1RCt;lY CoURT .
I F[JATHER CEBTIFY that I~n'll r~egister at my local adde+ess vnl~en the regiatration booics reopen. and eomplp ~rit6 all
olher reqnirements ot a legal resideat of tbis State. . '
I~i . I l~'UgTHE,~ CERTIFY tlut I hava ta intentioa to return to m fornner domicile. and I iatend to reuaain in
; U C E Couaty,
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Florida. Permaneati;.
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~ SMrora~Y~edsubscn'bed before me thls day ot ~
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. A.D.19_ 7~ -
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~ ROGER P01 TRAS, CLERK OF C IRCUI T COl~2T
ST. LUG 1 E COUNTY, FL.OR 1,UA -
BY: -t ~1G~L~
EPUTY LERK ~ R ,~E
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