HomeMy WebLinkAbout2536 Declaration of Domicile and Citizenal~ip ~ ~
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TO THE CLERK OF THE CIRCUIT COURT;
ST. LUC 1 E COUNTY. FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.17, Florida Statutes.
I was formerl a Legal resident of N l~ U N ~ ~ G ~ and I
(City) (State)
resided at ~~T-~ -1~
v~ ~ ~ . However. I have changed my domicile to
(Street and Number)
and am and have been a bona fide resident of the State of Florida since ~ ~ day of
~V `1 .19_1.x._, and I reside at ~C~~ 1 V 5 ,
(Street and Number)
r r ~C ~ ~ ST . L UG t E County. Florian,
1(~ty)
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HONE STEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
_ THEIR NAMESS
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, soil rnmpty with all
~ other requirements of a Legal resident of this State.
I
`'s I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
J i. t_ U C i E .County.
(City)
1
Florida. permanents; .
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Sworn to and subscrbed before me this day of
~ . A.D.19_ ~1
ROGER F'01 TRASH CLERK OF G IRCUI T COURT
ST. LUCIE COUNTY, FLORIUA .
Btr:
EPUTY LERK .
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