HomeMy WebLinkAbout0912 ~ ~ ~ ~ ~ ~ /
micile and Citizenshi ~
Declaration of Do p
4:35910 ~
TO THE CLERK OF THE CIRCUIT COURT. .
ST . L UC 1 E COUta't'Y. F'LORIDA:
This is my dceluation of Domic~e and Citizenship in the State oi F7orida that I sm Sling ihis day in aecordanee. and iu
conformity with Section 222.17. Florida Statutea.
I waa formerl a legal resident oi ~~~'S~ ~ ~ • - and I `
ICit~l 13tate) '
resided at v - ' e~ S . Ho~rever. I have cbanged my domicile to ~
(Strcat aad NumbK) • ' '
and am and have been s bona fide nsident oi the State oi Florids ainoe °t
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.18 ( and I reside at ~
0 ( aud NumbK) ~ '
PL~./Lc s~ ~iC--I•.- _ ST . L UC I E Count~. Flor~da.
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and this statement is to be takea as my declaratioa oi citiunship. actual kgal resideace and domicile in the State oi Fbrida. 1.
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R TNE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES~ f,
IF FO
CHILOREN IN SCHOOI~ PLEASE STATE PIEASE CHECK: ~ ~
TH {R NANESL ~ '
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I FURTHEA CERTIFY that I w~l register at my loeal address when the registntion booka reopen. ~nd comply with all ~
other requirements of a legal resident oi this State.
i I FURTHER CERTIFY that I have no intenlion to returo to my former domicile. and I intend to remaia in
~ T. U C I E _ . County.
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~ Florida, permanenti~ .
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' Sworn to and subscr'bed betore me this "_L~Sd~_~ay of
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. A.D.19_ ~9
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ROGER P41 TRAS. CLERK OF G IRCUI T_ GOl~2T -
~ -
~ ST. LUCIE GOUNTY, FLORiUA : .
~ BY:
~ EP LERK
~ ~ooK 3U4 ~E 91~ ~
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~ ~ A!:(1 Form i] ~
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