HomeMy WebLinkAbout0980 . . ' .
Deciaration of Domicile and Citizenshi
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441606
TO THE CLERK OF THE CIRCUIT COURT. 4
ST. LUG i E Covt~'rY~ FLpRIDA: ,
This is m~ deelaraLion oi Doariei7e and Citiunship in t1u Siale oi Florida that I am 51ing this da~ in aecordance, and in
eonformit~ with Sectioa 222.17. Florida Statutes.
I w~ former a kgal resident of ~~~~•-c'1/ . aad I
ICit~l 18t+te1
resided at .1 . Ao~vever. I have ebaaged m~ domie~e to
IStreet aod NuenD~r)
and am and have beeu a boaa fide resident of tAe State of Florida since 1 7~ da7 et
_J.'~?_r~.e ~ .19 ~ and I nside at ~ 71~ ~ ~ -2 A-a"" • ~
~1~
~4-- (BtrMt asd Nnmb~1
ST. Ll1G I E ~h,~~
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and this statement is to be taken as my declantion oi citiunsWp. aetual kgal residenee and domic7e in the Stai~ oi Florida.
Ii' F'OR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PIEASE STATE PLEASE CHECKS ~
THEIR NAMES2
~
F ~Lt~~r"r,'~ ~ ~ ~ORDE~ •
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'79 ~,G" 20 AM 11:00
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I FURTHER CERTIFY that I w71 ngister at my local addreu ~vhen the ngittntion books reopen, and comply .vitb aU
other requirementa of a Iegal resident of thi~ State. .
!
! I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
T~ U C I E ~~ty~
I lG'rt~) .
~ Florida, permanenci; . !
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£ S.vorn to and subsen'bed before me this ds~ oi '
1 A.D.19_ - - .
_ , 79 .
; ROGER P01 TRAS, CLERK OF G IRCUI T GOU2T
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~ ST. LUGIE COUNTY, FLORIDA ~ .
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~ BY: ~2~e.~~ - .
~ EPUTY IERK '
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` ~ 60QU J~?7 ~ACE 9~
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