HomeMy WebLinkAbout2421 Declaration of Domicile and Citizenship
~4~999
TOTHECLERK OFTHE CIRCUIT COURT.
ST. LUG l E COUNTY, FLORIDA: .
Tbb b my declaration of Domicile and Citisenship in the State at Florida that I am filint this day in. aooordana. and is
conformity with Section 222.17, Florida Statutes)J • ~
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I was t~ a legal resident of ICwI
333 s ~ s e e h • However, I have changed my domicils to
resided at - ~ z:
t
- ti~,..t..a Nnsb.rl ~ - / 9- 7 9 ~ wet
and am and have been a bona fide resident of the State of Florida since
/ ~ y
.~p S~/~LT~R A~.
e r u a r~_,19 ~ / . and I reside a t:>~..e ~ x~
p0 t t• ~ ~ U C / ~ _ ST. LUG I E Count, FlorWa.
lave
and this sbtement b to be taken as my declaration of eitisenship, actual legal residence and domidk in the State of Florida. ~ ;
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IF FOR THE PURPOSE OF ENROt.I'ING IF iOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, Pt.EASE STATE PLEASE CHECK: -
THEIR NAMES: - ~ `
Jra-~n ~s (~'-1CeQ.~house fiP ~
l_t~ ~ yri R~CORDEG
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4.34999
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I FURTHER CERTIFY that I w~71 register at m7 local address when the registration books reopen. and eompb with all `
other requirements oaf a legal resident of this State. ~
I ACE that I have no intention to return tom former domicile. and I intend to remain in -
U C 1 E -Count.
Florida. permaaencl~ .
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Sworn to aAd subsrn'bed before me this ~ day of ~ " ~ t ~ 'Ll`~ • ~ ,
ROGER P01 TRAS, CLERK OF G IRCUI T COURT
ST. tE COUNTY, FLOR OA ~ -
BY:
I EPUTY LERK - ~ .
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