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Declaration of Dom~icile and Citizenship ~
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449025
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TO THE CLERK OF THE CIRCUIT OOURT.
ST. lUC I E apU~y. ~,p~A:
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ZWs is m~r declaration ~ DomlrDe aad Citisenship in tbe 8tate ot Florida that I am SHns tl~ dap in aooordanas. and ia ;
oonformit~ witA Saetion 222.17. F7orida Ststutes. '
I was former a bgal reaident at ~ Q 0 t~aw As~o~ , 1~ e vv V ec k ~ i
. lt~t71 18tat~)
reaided at 13.5'N nrn b o~da p. . Ho~rsver. I luve ebanaed ~ domie~7s to ;
' 1 a~d NooDr)
sod am and bave been a bona 6de resident ot t6e 8tate at Florida sinoe ~ f* dq ot
Su n< ,19
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Q_ aad I reside d ~`~~o~i l.~ ~a v~an 2 c~ ,
' l8te..t a.d Nosb.r)
~ e r E S~ t, u c~ e ~T . i. w i~ Count~. F'loeida.
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and this statement is to be takea as an~ deelaration of dtiunship. actual legal residence and domieile in the State oi Flosida.
IF fOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES~
CHiLDREN.IN SCHOOL~ PLEASE STATE P~EASE CHECKt
THEIR NAMES: j 1
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• ST~Lt~C1~C0i~ili~ A. .
ROC~E ~aiT
C!~'RK CIRCUIT ~
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I FUATHER CERTIFY t,Lat I w~l register at m~ loeil adde~ess w6en the registration books r~open, aad oompl~ wit6 all
; other nquiremeMs of a kgal reaident of this State.
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~ I FUBT'~iER CEATIFY t6:t I have no intention to raturn to m former domic~'k. and I intend to nmain in
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. U C 1 E . County.
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i Florida: permanentl; . ~ ~
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~ Sworn ta and snbsrn'bed belore me this da~ at ~or ~ S~. L c, c; ~ ~14. 33 ~i~(S'2 .
~ _ T~n t ~ A.D.19
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° ROGER POITRAS, S
~ CLERK OF C IRCUI T COUtT
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~ ST. LUGIE COUNTY, FLORtOA ~ - ;
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~ BY: - ~ , ~
E _ EPUTY LERK U~ . ' ~
_ , ~ooK 311 ~~E 710 .
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