HomeMy WebLinkAbout2212 Declaration of Domicile and Citizenshi
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444291
TO THE CLERK OF THE CIRCUIT COURT.
ST. Luc 1 E CovrrrY, FLORIDA:
This is my declaration of Domicile sad Citittnship is the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.17. Florida SLtutes.
I was lormerly a legal resident of C y C ~ 4/~i ~ and I
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resided at 4 L 'Q S T ~ Q ~ 5'~ . . However. I have changed my domicile to
(Serest sad Number) ~ ~
and am and have been a bona fide resident of tote State of Florida since 2?G ~Tiy day of
~ ,19...z~. and I reside at ~ SU 7 ~i~Gb~~~~+/G .~~1 d G ~
13tr.at aed Number)
r-- t . e fQ G ~ _ S T . L UG I E Count .Florida.
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and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
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444291
I FURTHER CERTIFY that I we11 register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State. .
I FURTHER CERTIFY that I -have no intention to return to my former domic,~7e. and I intend to remain in
• ~ T U C 1 E ~ County.
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~ Florida. permanents; . !
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Sworn to and subscribed before me this ~ day of ~ T • L° ~ C C7 ~ ~IQ
ROGER PO I TRAS, CLERK OF G I RCUI T COURT
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ST. LUC 1 E COUNTY, FLOR t OA
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EPUTY LERK t~'
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