HomeMy WebLinkAbout0469 i . ~ .
claration ~of Domicile and Citizenship ~ ~
De
~ 433'744
TO TlIE C1.ERK OF THE CIRCUIT COURT.
ST_L lJC 1 E - (~pUNTY. Ft.OAIDA:
Thjs is my declaralion ot Domkile aad Cilisen~hip la the State ot F1o~ida°thaL I am filing thts dyr ie acoordanoe. and ia
eonformity rritA Section 222.1T. E'lorida Statutes. ~
I was formerl s kgal resideat ot ~ v~~' 'Q _ ~ ~ SS _ and I
~ ICrVI ~ 18t~ed
n~ ~ , Hwvever. I have eh~ngcd my domicile w
( ~od Idnmb~tl
and am and have Deea a bona C~de resideat of the State ot Florid~? since
~ , S'~ e~ o- 7 f~i C`
~ -19 aad I nside a~ .
16tn~t ~ed Numb~r)
ST L UG I E~ Countr. F1or;aa.
tavf - .
iAd UIIS iLi~EQIC[IL I3 LO bQ Li~Cil ~8 d~ f~ECIi~iL100 Ot Clt~1E11SWp. utual legal resideneo ar~d domieile iw the State of Florida.
• ~F ~OR_THE PURPOSE Of ENROLIING IP fOR HONESTEAD PURPOSES~
• CH.IIOREN IN SCHOOL~ P~EASE STATE PLEASE CHECK: ~
THE IR NAMESS
~t~.? ~
~-~~s y d ~ Pw r~t ~ RECORDED
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`~c~a. CLN.-.. ~s~ . ~ ~ g : 36
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I FL1B1'~iER CERTIFY that I w~l register at my local address ~vhen tbe registration booka nopen. and oomply ~rith all
f other requircments ot a kgal resident of this State.
~ I FURTHE~ CERTIFY that I have no intention to return to m former domieile. and I intend to rema~n in
~ ~ u ~ i~ . County.
~ ICit~1 . -
~ Ftorida. permanen~I; .
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~ S~orn to and suhser'bed betore me this ___L_= day of ,
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~ '~P~. -A.D.19_
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~ ROGER POITRAS. CLERK OF GIRCUIT COURT
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~ - .
~ ST. LUGIE COUNTY, F~ORIUA ~
~ BY: ' -
` EPUTY LERK
~ ~ . 6~K ~ PAGE~
~ ~ a, ~ - .
~ • . ACO Form T1 :'2
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