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HomeMy WebLinkAbout2776 Declaration of (Domicile and Citi~~nship 440832 TO T11E CI.BItK OFTHE CIRCUIT COURT, ' ST. LUC I E COU~y~ FIARIDA: This is my declaration of Domicile and Citizenship In the State of Florida that I am Ming this day in accordance. and in conformity with Section 222.17. Florida Statutes. I was forte a legal resident of ~ .~,L~J~/'n and I . ~ ~ ICK~I 18taW resided it ~ ~/til . Howover. I have changed my dorm ' e to IStrs+t and Nuao~rl YL and am and have been a bona Cede resident of the State of Florida since ~ "7 ay of ..1~ ~ ~ and beside at ~b Z_f .7~S~i C ~ ~ ST. LUGIE~~N - - County. Fbrida. IClty and this statement is to be taken as my declaration of citizenship. actual legal residence and domia7e in the State of Florida. Ii FOR THE PURPOSE Oi ENROLLING Ii i0R HOMESTEAD PURPOSES, CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS THEIR NAMESS • Fi~cD :•`~J ~~CORDEO~ ~JC~~ '~UI:TY. FL4. 4401832 ~ '79 APP i 6 PM 12:2 2 I FURTHER CERTIFY that I wiz) register at my local address when the registration. books reopen. and comply with all other requirements of a legal resident of this State. i • I FURTHER CERTIFY that I have no intention to return to my [ormer domicile. and I intend to remain in 5~. U C I E County. ((5tr1 j F`)orir3a, permanenti;. E tEf 1 C E R ,q N NA ~ . C J••~ A,ti s E2 L l /V /mot A 2K L . C 1-I ANt Be Q i? ~ < i - s s _ IN L • . . ~ (Addrea) v Sworn to and subscribed before me this d_ay of _ . ~Q . .33 ~ C~ • . `E. S - ! ROGER P01 TRAS, CLERK OF CIRCUIT COURT • ~=~k : ST. LUG I E COUNTY, FIOR tUA~ • • • . ~s~ : s~ F ~ EPUT LERK ~ • ~ U ~ 3U6 PACE • r