HomeMy WebLinkAbout2137 434805
Declaration of Domicile and Citizenship
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TO THE CL>eRK OF THE CIRCUIT OOURT.
ST. LUG i E ooUrrrY. FLORIDA:
TMs is nqr deckratioa d DomkDe and Citisenship in tbs Stets d Fbeids that I aoa lllin~ this dq io acoocdsaoe, and is
eomformity with Section 222.1?. Florida Statutse.
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I wan for ~e a kgsl reside t
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raided at 39~ IBC H wr. I have dungd eq~r domkil. to
and am sad bave been a bona Hde resident d the 8tats d Florida nine ~ _ ~ eI
_ 19~. and beside at //~O 7? .LA/r
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ST. LUG I E Couat~, Florida.
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amd this statement is to be taken as n~ declaration d eitisenship. actual >e8+1 residence and domicils is the State d Florida.
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IF FOR THE PURPOSE OF ENROt.LING IF FOR HOMESTEAD PURPOSES, {
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS ~jj~
THEIR IAME3: 3 ~~~11
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~~~.ED A~JD RECORDED
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. `'434805
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I FURTHER CERTIFY that I w~71 register st m7 local address when the registration books reopen. a~ compb with aD ~
l other regaieemeats d a legal resident d this State.
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I FyR1'HER CERTIFY that I have no intention to return to m~ former domicile. and I intend to remain in
_ ~T . ~ v ~ ~ c ~ Count7.
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Florida, permanents-.
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Sworn to and subscribed before me this ~ daT d ~
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ROGER P01 TRASH CLERK OF C IRGUI T COURT
ST. 1E COUNTY, F>_ORiOA
BYs
~ E P UT Y L E R K 0 R tint V PAGE ~r1~
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