HomeMy WebLinkAbout2114 434'793 ~ .
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Declaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT OOURT.
ST. LUG 1 E COUNTY FLORIDA: -
This 4 ao~? declaration d DoeaicSe and Citiseaship m tht State d Flodda that I am IDinS this dy is aooordana. sad is -
ooafarmit~ with Section 228.17. Plaids Statutes. -
.
I was f a legal resident d ~ O y ~ / • ~ iv ~ • sad I .
_ lCiyl 3 ~'rT, - teutel
. resided at A / ~O~ ~~T "O Id / !~?NO~~ ~ Hoerover. I haw changed a~ domicile to
. lRtewt sad Ns1~r1 Q J.
and am and have been a bons fide resident d the State d Florida since, `~C • ~T ~ l'. - dU d
1S__.. sad I reside at L1?~-~/ ~ u'4 ~ / ~
3 3 q S ~ ~ ST. LUG I E - Count. .
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and this statement is to be taken as noT deeh?ratioo d dtiaenship. actual legal residence and domieDe in tbs State d Florida.
If fOR THE.P.URPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN yN SCHOOL, PLEASE STATE PLEASE CHECK2
' THEIR NAMES:
' -
- f:LED AND RECORDED ~
'?CIE %DU!:TY. FLA.
" ~ 4x4'793
' !7~ FEE Z i PM Z : ~ 3
I FURTHER CERTIFY that I will register st mT local address when the registration books reopen and oomplp with all
IE other r~equirementa d a legal resided d this State.
j I FURTHER CERTIFY that I have no intention to return tom former domic~e. and I intend to remain is
U C ~ E .County.
_ t(.Yit~l
Florida. permanenc~,•. -
~ovNry~
~ ~to~ G
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Sworn to and substn'bed before me this ~ day d O / w ~ ~ ~
. A.D.19 ~I
r , _
.ROGER P01 TRAS, CLERK OF C I RCU 1 T COURT r
ST. LUCIE COUNTY, fLORtOA
BY s
EPUTY LERK
_ 8~3U3 ~~~110
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