HomeMy WebLinkAbout1085 t' n of Domicile and Citizenshi
Declara io p
43'7836
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am fling this day in accordance, and in
conformity with Section 222.17. Florida Statutes. /
I was former a legal resident of ` and I
L71 (Stab)
resided at t..~~ ls- . However. I have changed my domicile to
13t»at aad NusMel
snd am and have been a bona 5de seaident of the S4te of Florida since9 ~ ~y ~
,19 - and I reside at ~d 7 ~ '~''i~ ~ _
It ~rCi.•-L-~ ~ ~ S T . 1. UG I E~ •aa Num>,.d qty. F'torida. _
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and this statement is to be taken as my declaration of eitiaenship. actual legal residence and domic7e in the State of Florida.
IF FOR THE PURPOSE OP ENROLLING If FOR HOMESTEAD 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, and comply with aU
other requirements of a legal resident of this State.
F I FARTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
J U C I E S ,County.
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s
Florida. permanenu, .
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Sworn to and subsen'bed before me this ~ ~ day of
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ROGER P01 TRAS. CLERK OF G IRGUI T GOURT "
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3 ST. LUGIE COUNTY, FLORIDA _ •
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BY: ~ ~E~c _ ' .r
EPUT LERK -
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L 5~~~ 3U5 fay X1083
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