HomeMy WebLinkAbout2084 a
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~eciara~ion o~ i~omiciie and Li~izenship
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45S?05
'!00 TILE (~.ERK OF THE CIRCUIT COURT. ~ s
S~. LUG i E
OOUNTY. FLORIDA:
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' ~ Ibis b ~ deeLratioo of Domidle and Citisenship in the 84te of Florida flat I am lQinE this dy k accordance. and is
_ ooniarmitT with Section 228.1T. Florida S4tutes.
I was f~ a kSal resident oI w~r-s .+t it Fe 2 D T a ova S H1, P _ NE 5 c R S ~ Y and I
ICIt~) I~aW
resided at fi ,Q..v ~ R o A - However. I have ehaelged ~ domicile b
t8te~at and Nussbsd
:ad am and Dave been a bona Ede resident o[the S4te oiFbsida since - S ~ X7' N daT of
~,r' u_- s T 19 7 g " and I reside at ~ ~ ~ ~ t ~ ~ ~ ~ • ~f
ItwMt and Nomb.r) ' t
Ao ~e ~ s i. .t a c ~ ~ ST. LUC I E Ccnn>7. ~
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and this s4tement is to be Laken as m7 dec4ntioa of atisenship. actual legal residence and domie9e in tha S4te of Florida.
IF fOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSES,
CH 1 L.DREN~ 1 N SCHOOL., Pt.EASE STATE PLEASE CHECK:
THEtR NAMESS - '
~9T9 AU6 16 AK ~ 3s
A RECOROE _
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alrmt calculi couRr 1,
RECgtp VEltIFtEO
I FURTI~R CERTII~'Y that I will register at my lonl address when the registration books reopen. and eomplT with all ~
other requirements of a legal resident of this State.
i
~ I FURTI~R CERTlt'Y that I have no intention to return to m~ former domiale. and I intend to~ remain in
-r ~ _ _ T _ U C 1 E COUnt~.
R _ ttxc~l
Florida. permauend;.
t
E. /-lA ~z
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sworn to area snbsa7bed before me this ~ ~ a,F of ~ •
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A.D.19= rt
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R A C ERK OF C 1 RCU i T COURT ~ t' > 4 ` .
ST. <.UG 1 E COUNTY, FLOR 1 OA - ~ -
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