HomeMy WebLinkAbout0566 Declaration of Domicile and Citizenshi ~ ~ ~
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'110 THE Q.ERR OF THE QRCtTIT COURT..
S~•. LUG i E OOUNTY. FLORIDA: ~'X
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~ `,'Tbb b nq deeisration d Domklle and (2ti:enship is the State d Florida that I am Suns this da,F ie aooordanoe. and is
ooolormit,~ wlth Sestina 222.17. Flozid+? Statutes. ~ ,
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I was ! - a legal resided d iii/ ~d - r-'
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resided d _ ~G~' 911 A? / S~~ iQt~ Howeves. I luw'ebaarsd m~ domieDs to
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and am cad haw bean s bona fide resident d the State d Florida since t das d
19..,~, and I reside at
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' ~ ~ ST. LUG i E ~ ~4. .
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and tbb stdement is to be taken as ~ declaration d dtizenship. actual legal residence and domidle is tba State d Florida.
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IF FOR THE PURPOSE OP ENROLLING ~ ~ If FOR HOMESTEAD PURPOSESe j
CHILDREN IN SC OIL, PLEASE STATE PLEASE CHECKt
T 1 NAMES:
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1919 AU6 -8 PM ~ t 9 -
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I F[JRTHER CERZ4FY that I ~ register at ms local sddress when the registration boob reopen, and oomph wKh all
aRbe: regtriremenb d a legal resident d this State.
I 1:'[JRTAER thst haw into tion to return to mT former domie9e. and I intend to remain in
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Fbrida. perananentl;.
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Swam toaad sabeer,'bed befoQ+e me this ~ daj d ~ ,~,3
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R A C ERK OF CIRCUIT COURT
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ST. LUGIE COUNTY, FLORIDA -
BY: 4=c~ - . t .
EPUTY LERK 3~4 PEE- '~4
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