HomeMy WebLinkAbout0109 ~ . ~ . . ~ •
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Declaration of ~amicil~ and Citiz~nshi
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T~ Tf lE CLEItK OF THE CIRCUIT COURT, ' {
ST. LUC I E CoUN'rY, F1.pRlDA: ~
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This b mr declarati~n of Domicile and Citisenship ie the State ot Florida tbat 1 am ftling tbis day ia accordance. and in
contormity with Scction 222.17. F'lorida Stalutes. E
1 was for~ a kgd re~ident ot ~ v`TAFFU ~S~°~~NG~S , ~d?/?FL'T/G'v/`' I
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res;ded at -~~3 n7i}l/1l ~S'TieF_E`~' . Hoaever. I have ehaaged my domicile lo
(Sus~t aod Numestl -
and em and have been a boru Cde residcnt otthe State ot Florida since S~ ~ day ot
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n? ~4~ ~ 19~~. and I reside at !.n?S1 ~S~i~~F~ ~VE- • f
• (St:eeR ~nd NumDerl
f~,~ ~ ST . L UG I E County, Florida,
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and this statement is to be taken as my declaration of citizen~hip, actual legal residence and domie~7e in the State oi Florida.
li' FOR THE PURPOSE Of ENROLLING IF iOR HOMESTEA~ PURPOSES~
' CHILDREN IN SCHOO~~ PLEASE STATE PIEASE CHECK2 ~
THEIR NAMESS
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' I FURTHER CERI7FY that•I will register at my local address when the registntion books reopen, aod eomply with all
! ~-th~ r requirements oi a lega! resident of this State.
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; I FURTHE~ CER7`IFY that I hsve no intrntion lo return to m former domicile. and I intend to remsin in
_ . U C 1 E , County.
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~ Florida, permaneati;.
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;~v: orn to and subscribed before me this l 7 day of f~7.E'7r cST L,~i~C~E .'~y~3~_k.1 _ ~
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: ROGER P01 TRAS. CLERK OF C IRCUI T COURT
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° ST. LUG I E COUNTY~ FLOR 1 UA • ~'a j''-, i
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