HomeMy WebLinkAbout0032 Declaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT COURT. L~
ST. LUG I E COUNTY. FLORIDA:
Thia is my declaration of Domicile and Citizenship in the State oi Florida thst I am Ciling this day in accordance. and ia
conformity with Scetion 222.17, F7orida Statutes.
I was formerly a(egal resident ot ~ • I
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resided at . However. I have ehanged my domicilc to
Street ~nd Number)
and am and have been a bons Gde resident of the State of Florida since d~y °f
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~-~1~ . ~S ,19Z~. and I res~de at ~.~e1L~ ~ ~ '
(Street and Numbsr)
`y_~~~« , ST. I.UG I E County, Florida.
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and this statement is to be taken ~s my declaration of citizenship. actual legal residence and doanic~7e in the State of Florida.
IF FOR THE PURPOSE OF ENROLIING ~F FOR HONESTEAD PURPOSES~ ;
CNILDREN IN SCNOOL~ PLEASE STATE PIEASE CHECK2 ~
THEIR NAMESI ;
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='~t'J t."!~ r~ECOr~DED' ~
;.'.;r~c ^~(~~~7v. Fl.~~.
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'T9 FEB 27 AM 9: 37 ~ .
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I FIJRTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State. .
I FIJRTHER CERTIFY thst I have no intention to retura to my former domicile. and I intend to remain in
, T. U G I E _ County.
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~ Florida, permanenti~ . '
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Swom to and subscribed belore me ~his day of 0'--~-~~i-e-~-~ ~
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~ ROGER POITRAS. CLERK OF CIRCUIT COU2T
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_ ST. LUCIE COUNTY, FLOR A .
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BY: ~
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EPUTY IERK
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