HomeMy WebLinkAbout2139 - ~r-c.~c_ • - _ E~ fig ~ tc~c~~t~`t~~; ~~~~1~~ ~-.lair (;:l~~t~i~
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THE CLERK OF THE CIRCUIT COURT 4•)5245
TO
- -
S'f . L UC 1 E COUNTY. FLORIDA: - ,
This is my declaration of Doanicile and Citizenship in the State of Florida that I am filing this dsy in accordance, and in
conformity with Section 2?2.1T. Florida Statutes. -
~r I vvas formed a Legal resident of ~ ' - _ ~ and I
- IG~ty)
resided at ~ ~ (,~Cv.?L2 _ Aowever. I have changed my domicile to
IStset nail Numbed ~ ~ ?
and am and have been a bona fide resident o! the State of Florid: since day oI
19
~
1- and I reside at ~ ,lj! ThL~7~~X~`°~ ~
` (Street and Number)
• ST. LUG I E County, Florida,
1(Trty) - t
and this statement is to be taken as my declaration of otiaenship, actual legal residence and domiale in the State of Florida.
li FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES: ~ ~ i
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~ ~ r
- 9~5~iZ4~
- - 199 AUG 16 PN 2~ 15
~ (O,OI~gITY~F A.
POITRA~
l»Ci~RCU)T COURT
IIECOAO YERIFiEG____
I FURTHER CERTIFY that I ~:-t11 register at my loca.] addrrss when the registration books reopen, and comply with F11
:;ther requirements of a legal resident of this State.
- 4
~ I F'[JRTHER CERTIFY that I have no intention to return to mp former domieRe. and I intend to remain in ~
_ _ T U C 1 E County.
(City) .
i~'.a: ids, permznenti~.
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i
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a ~ _ )
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`;~z•.~rn to and ~ ubun-be:d before me tl~;, I~~GK d;,y of ~~~~"y .s~;~ -
ROGER Pt) I AS ~ l_ ER K OF G I RCU t T COURT ;:;~?~+~+s~q; r `t' ~
ST. LUG 1 E COUNTY, ~'LOZ t DA ~0u~ • ••y