HomeMy WebLinkAbout0808 43`~~4
Deciaration of Domicile and Citizenship
TO THE CI.ERK OF THE CaiCUIT COURT.
ST. LUG I E apUNTy. ~i,pRIDA: .
This L m~ declatation ot Domiet'ls and C[tiser,stip in the State ot Fbrida that I am SHns thts da~ in ~oeordanoe. and in ~
oonformit~ witD Seetion 7.~2.17. I~lorida Statutei.
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I was fo~ a kgal reaident ot S v n l•_,•• J, L(/ . l/a~ and I
l(:i~7 (9tat~1
nsided at ,l 1 IO D~ er. S o-~ - Aowever. I have ehanged m~ domieib to
18erNt aad Nm~l
and un and have been a boaa 5de resident ot the S4te oi Florida since s dsy at
S~ .19 7 9_ and I resIde at U
~ ~ a~d NombN
P~,,,,~ , ST . L UG I E ~ti. ~
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snd thi~ atatement is to be taken as my deeLntion oi eitiunslup. actwl legal residenoe and domie~7e in tLe 3tate ot Flarida.
IP FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES~ t
CHIL~REN IN SCHOOL~ P~EASE STATE PLEASE CHECK: ~
THEIR NAMESI
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43'7684
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; I FURTHER CERTII~'Y that I w7l register at wy local address when the ngiatration boots reopen, and oomply with all
~ other requinments ot a kgal resident oi this S4te. '
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~ I F[JRTHER CERTIFY that I have no inteation to nturn to m former domicile. snd I intend to remain in
; . . U C 1 E . County.
~ ((xt~! ' s
~ Florida, permanenti; .
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~ S~vorn to and aubsen'bed before me this dsy of
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~ ~ A.D.19_ ~9 .
RQGER P01 TRAS, CLERK OF C I RCU I T GOI~tT '`r' , I
~ ST. Ll1G I E COUNTY, FLOR 10A •.:o, ~R.~t~ , ~ _ i
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~ BY ~ % ~ .
~ EPUTY RK '
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rBQGM JO~ • .
~ AGn Fc~-~~~ 71 2?
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