HomeMy WebLinkAbout1638 Declaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT OOURT, .
ST. LUG 1 E COUNTY, FLORIDA:
This b my decbration of Domicile and Citi:eaship in tbs State of Fbrida that I am t8in8 thb dy in aooordanoe. and is
oonfotmit,T with Section 228.17 Florida Statutes.
I was f es a legal resident o[ ~n ~
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t and I .
S ~av~
resided at oweves. I have changed nq domieAe to t
~sars.aaN.ee..l
and have been a bona fide resident o[ the State of Florida sines - ~ ~
19~~. and I reside at Sscl ~~~L~'Q~
~ ^ ~ _ 124wt ~d NosD~e)
l l ~ OD l/~,J ~ _ ST. LUG I E ~h~F~oeida. -
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and thb statement b to be taken as mIr declaration of citizenship. actual legal reaidenee and doa~ieik in the State at Florida.
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IF FOR THE PURPOSE OF ENROLLING. IF F.OR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMESt ~ ~ ~ ~
,
Ft~EO ANi) RECORDEtS~ ~
L~f~~ =T. CJC1F COUNTY, RLA.
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43~4'~
- ~ '79 FE8 19 PM 12 : i 3
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CLERK CsRCUt ` %OURT
I FURTHER CERTIFY that I wdl register at my local address when the registration books reopen. and oomph. with all R
other requirements od a legal resident of thb State.
I FURTI~R CERTIFY that I have no intention to return to mT former domi~e7e~. and I intend to remain in
>s U C 1 E , Count7.
(~71
Fbrida. permanend; .
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Sworn to and subscribed before me this daT at ~fCLf - • ~ ~ ~~~K~~ f
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ROGER POI TRAS. CLERK OF CIRCUIT COURT ~
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ST. lUG1E COUNTY, FLORiUA
BY: ,e.~~
EPUTY t.ERK
600l~ eiuV PUCE 1~