HomeMy WebLinkAbout2773 ' Domicile and Citizenshi
Declaration of p .
4369'78 i
TO THE CLERK OF THE CIRCUIT COURT,
ST. lUG 1 E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship is the State of Fbrida that I am filing thin day in accordance. and in
conformity with Section 222.17, Florida Statutes.
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I was formed a fgal resident of ~ ICI 1~~----•
resided at q ~a C C- p Q ~ ~ t' _ However, I have changed my domicile to
18trsat and NumDar)
and am and have been a boas tide resident of the State of Florian sines Mc.,~C~ 1 O day of
.19J ! ' and I reside at I e~ 1 0 ~a~< me L A n~F
(8teNt and NnmDar) 1
S~ ~ ~C e. - ST. LUG I E County. Florids. i
l(Xty1
and this statement is to be taken as my declaration of citizenship. actual legal reaideace and domicile in the State of Florida. ~
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IF FOR THE PURPOSE OF ENROLLING IF POR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR MANES:
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~,1~'. M ~o 4369'78 ~ j
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IFURTHER CERTIFY that I will register at my Ioca1 address when the registration books reopen, and comply witb all
other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my f~~er d micd„~. and I intend to remain in
_ J 7. L rv c. ~ c minty.
ICuy1 i
~ s
~ Florida, permanentl; . .
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Sworn to and subscn'bed before me this dsy of 1~ --~1.1~ ~
33 y S ~
C~A_L.11 , A.D.19_ 79
ROGER P01 TRAS. CLERK OF G IRGUI T COURT
ST. LUG i E COUNTY, FLOR 1 A .
BY:
EPUTY LERK I
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