HomeMy WebLinkAbout1656 Uec;lara~ion -of Domicile and Li~izenship y -
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S'~•. LUC 1 E OOUNrY. FIAI'tIDA: _
~ `;This is mT deeLration ai DomieDe and (~tiaeaship is the States o[ Florida that I am ~i this d~ is sooordanoe. and
_ eoaformit, with Sedioa 222.17. Florida Statutes.
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I was i~ a legal residaat of Metairie, La ~ snd I
ICtyl lst+ed
resided ~ 500 _i spnhnwpr - However. I have changed np domicile to
IStnae noes Nambwi -
and am and leave braes a bona Bde resident of the State of Florida since Tune 6 ~ 1979 dad of
Tune ,19
79 . and I reside at - KP*+t.~nnA
18tr..ca.aNeebsl
Port St. Lucie ST. lUG I E CoantT•Florda•
teal
and this statement is to be taken as m~ declaration of citisenship. adnai legal residence and domiele in. the State of Florida.
If FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSESi
CHILDREN" IN SGHOOt.a PLEASE STATE PLEASE CHECK: I~~I
THEIR NAMES: ~---1
.DLn Rinharcl
45494 ~ .
1979 allG 14 PH ~ 50
- F LEO ~A~ pR~ECOROfO
. S~~~ER~POITRA~A.
. CLERK OIRCUIT COURT
RECORD VERIFIED #
I FURT~R CERTIFY that I ~ register at m7 local address when the registration books reopen. and oomplF with s11
other requirements a[ a legal resident of this State.
I FURTI~B CERTIFY that I have no intention to return to m~ former domin7e, and I intend to remain in
re ~ ~ t • ~ v ~ ~ ~ _ Connt~.
_ ICStTI
Florida, permanendi- .
t
t
.
~ J _
c~L --E~ /
- a ~2~
Sworn to and suMeribed before me this daY of .
--9 "
_
~ ti~f,;,L .
ROGER PO1 TRAS. CLERK OF C i RCU 1 T COURT ~ ~~.~~E'~'A•~';~
'V.
ST, lUG 1 E COUNTY, FLOR t DA - - . ~ " ,
BY•
- - s..~ JJa~s--. C~~11
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