HomeMy WebLinkAbout0914 Dectaration of Domicile and Citizenship i`
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4~'718'7
TO THE CLERK OF THE CIRCUIT COURT.
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ST . L UC i E courrr~r, ~.oRm~: . - ~
This is my decluation of Domic~e and Citizeaship in the State of Florida thst I am filing this dq in sccordance. u~d 'w i
conformity with Section 222.1T. Florida Stalutes.
I w as formerl a legal resident of L~ and I .4
~ t(.tit~1 IStaW
resided at ~ y~ . However. I have ehanged m~ domic~e to ~
IStrcet aod Number)
and am and have beea a boaa fide resident oi the State of Florida since ~1~~~7~~ r day of
~ , 19 and I reside at 1~~ ~ -
t3tre~t ~nd Numbet)
~~~~-a ~ C _ ST . IIJG 1 E Count~, Florida, ~
((,l't7)
and this slatement is to be taken as my dedaration of citizenship, actual Iegal residence and domicile in tbe State of Florida. i
IF ~OR THE PURPOSE OF ENROILING IF FOR HONESTEAD PURPOSES~ ~
CHILDREN IN SCH004~ PLEASE STATE PLEASE CHECKt
THEIR NAMES: . '
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l979 JU;~ -8 A!~ i I~ 23
- ST
LUCIE
COt t1TY F
A. ' ~
. CtERK CIRC~IlIfT
CO~USR
- . PECOea v~ar~rcn--
44'718'7 ~
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~ I FiJRTHER CERTIFY that I w~11 register at m~ loca] address when the regis{ration books reopea, and compl~ with a11
~ other requirements of a legal resident of this State.
~ 1 FURTHER CERTIFY that I have no intention to return to m~ lormer domic~e. and I inteDd to remsin in ~
~ T. U C 1 E . CountJ.
~ ~ 73 . rt
~ Florida, permanenu~. ;
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Sovorn to and subscn'bed before me this ~ da~ oi f.~~-..L~-ai 3 ~ "
Y - - . . S
~ ~~r~ ~ _ A.D.19
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~ ROGER P01 TRAS, GLERK OF C i RCU 1 T COl~2T +
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ST. LUG i E GOUNTY, fLOR 1 OA ~ '
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BY: .a
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r EPUTY LERK n~~ .
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