HomeMy WebLinkAbout0586 Deciaration of Domicile and Citizenship c~~
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TO Tl1E CLERK OF THE CIRCUIT COURT. ~
_ ST. LUC 1 E Covt~T~t, FLORIDA: .
Tf~L is my declaration ot Domtcile aad Citi:eaship in tbe State ot Florida that 1 am filiag this day Ia aeeordance. and in
tonformity with Sectioa 222.1T. Florida Statutes. - .
I wu tormerl a kgal resideat ot. ~ ~ - ~p'"'~~ I
/ ICW?1 IStat~1
nsided at - r ~ y~ . HoMever. I have ehanged my domicile t~o
18tcNt aad N~1 .
and am iu?d have been a boaa Gdo resideat ot the State oi F{o~ida sioee ~7 °t
.19 r r' and I reside at ~~~~t'L~; . ~ L~'~ ~~~~I"~""~
n ~ l&rMt Md NombK)
.~L ST. LUG 1 E County. Fbrida.
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aad this statement is to be taken ~s my declaration of eittunahip. actwl legal residenee and domicile in tbe State ot Ftorida.
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If fOR THE PURPOSE.OP ENROILING Ii FOR HOMESTEA~ PURPOSES~
' CHIIDREN IN SCHOOL~ PLEASE ST/1TE PIEASE~CHECKt ~
THEIR NA ESS
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~'~ED : !~~J r.Z~CORDED
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I FURTHER CERTIFY that I will register at my loal address when the registratioa books reopen, and comptp with sU
other requirements of a kgal resideat of this State.
I Fi1RTHER CERTIF
Y~ that I have no intrntion to return to m tormer domicile. and I iatend to rcmain in
. U C 1 E _ Couaty.
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~ Fbrida. permane~~i; . -
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Sworn to and subscribed be~ore me this ~ day of _
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~ _ _ - . A.D.19_ ~9 ~
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= ROGER P01 TRAS. CLERK OF G IRCUI T COURT -
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ST. LUG I E COUNTY, f LOR i UA
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AGO Form 71
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