HomeMy WebLinkAbout1482 - ~ X343'75 ~ ~
Declaration of Domicile and Citizen hip
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ST. LUC 1 E aovNTY. FLORIDA:
This b my declaration d DomkDs and Citisenship in the State d Florida tbat I am ltlini thls dq in acoordanos. and ie
conformity witb Section 222.17. Florida Statutes.
I was former a legal resident d Blau dbu I~jl Pa. Iat~ and I
resided at I' •O. Box 5, Blandburg , Pa. 1663 9 _However. I have changed acU? domidile to
(Bt~Mt aed Pln~eesel _
end am and have been a bona Sde resldeat d the State d Fbrida since February 3 3 , I 979 day d i
19 -andIresldeat 1702 S.E. Lullabv Terrace
(8tewt aed Nombsr)
Pnrt S,1-, t
~ e~ _ ST. LUG 1 E- - County, Florida,
and this statement b to be ta)<en as ~ declaration d citisenship. actual legal residence and domicile in the State d Florida.
IF FOR THE PURPOSE Of ENROt.I.iNG - IF FOR HOMESTEAD PURPOSE8i
CHILDREN IN SCHOOIs PLEASE STATE PLEASE CHECK:
jHEIR NAMES:
Shawn C. ~~loodring
FLED ANO RECOROEO ~
Matthew T. Woodring ~°;CIE CQUN i fl_A.
Jason K. Woodring 4a~3a3~75 ~
'79 fE8 i 6 PM 3:58
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~ I FtJRTIiEB CERTIFY that I w~11 register at my local address when the registration boob reopen. and oomph with all i
' other requirements d a legal resident d this State. - .
I FiJR1'HFR CERTIFY that I bave no intention to return tom former domicile, and I intend to remain in
T U C I E .County.
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Fbrida. permanenc~,•. -
~oUNry
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Sworn co and baen'bed before me this ~ day d O~ . , ~ ~ 1 , -
- A.D.19
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ROGER POI TRAS. CLERK OF G IRGUI T COURT
ST. LUGIE COUNTY, F tOA
BY: ~ l
_ PUTY LERK
BOOK PA6f 1~~ -
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