HomeMy WebLinkAbout1378 fleclaration of Domicile and Citizenship c~~
~49424
TO THE CI.ERK OF THE CIIiCtJIT COtJAT.
ST. L UG I E apU~y. ~,p~A: .
This is my declaration ot Domia"le aad Citisenship in the State ot Florida that I am ~ing thi~ da~ in aooordaaoe. aad ia
eoaformit~ writh Seetion 222.1T. F7orida Statutes.
~ I was fo~ a kgal resident of ~ i
j: 7~ ; A, y' yj a8d I
l(sc~) f8~aa)
resided st ,/i.J, j'~ Y"~~' j) _ Hawever. I havs ebanged m~ domici7e Lo
(8t~t a~d Nmab~
and am aad hare been a bona fide resident oi ths 8tale of Florida sina -~t - dq at
.~,1 ~ , i~ ~ ~od I reside at ,.,f ~ l S /'7A ~ T/, l A E_
~ ~ ~ ~so~..~..ar~.~~
j ~ r t~ ~ i~ E~: ~ ST . L UC I E Count~?. Florida.
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and this statea~ent is to be taken as m~ deelarstion of eitiunship. actual kgal nsidenee and domieile in the State d Flo~ida.
{f POR THE PURPOSE OF ENROLLING If FOR HOMESTEAD PURPOSES~
CNILDREN IN SCNOOL~ P~EASE STATE . PLEASE CHECKS ~
THEIR NAMES: ~
~ F-' j: H!, ~1 A(-' i(~ f~ L~ ~ 4.?
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.!~I9 J4~?! 27 P;~ 3~ 57
F~LED FhC F~ CUi~u~U
ST. LUCIE COIS`I (Y. Fl A.
apG~ft PCITRAS
CLEftiS CiRLU1T CL?UF~
s,~r^:'? ~ ~ f
~ 449424
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~ I FURTI~R CERZ'iFY that I wn71 ngister at m~ local address wben tbe ngistrstioo books reopen. and oompl~ with aD
~ oth~r reqait~emeab of a kgal resident of tbis State.
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! I F~JRTAEIi CERTII~'Y thst I luve no intention to nturn to m fora~er~dom'x~~'k. and I intead to nmain in
~ , T. L u c ~ r _ Count~.
f ~ rT S ~C u r_ ; E _ ~cxc>> _ .
Florida. Permanentl; . ~
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„ s..oro co.oa subxn'bed betan me chis a 7 ~ d,, o~ fr 7 ; ~
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~ U N ~ . A.D.19_ ~9 ~
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~ ROGER POI TRAS, CLERK OF C IRCUI T COl~2T . .
ST. LUG 1 E GOUNTY, f LOR 1.OA ~
BY: _ ~ ~~.c . - J
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: . EPUT LERK ~ ~ 311
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