HomeMy WebLinkAbout2339 ~~~cE~rafi~~~i cif ~c~•?<<~..~~~ c.~~t~ _ . . -_~~z~~
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THE CLERK OF THE CIRCUIT COURT. ~QO
ST. L UC 1 E ~ COtJNI'Y. FLORIDA: - - .
~'~:This is my dedaratioa of. Domic~e and Citizenship in the State of Florida that I im 51iny this day in accordance. and in
_ conformity with Section ?22.17. Florida Statutes.
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^ I was a legs! sesideat o! / ~~+,,Q~;~ / , and I
(tit (Stag
resided at pr____~~~,~~ ~.~l/ ~Aowever. I have ch:aged my domie9e to
(Sliest aced Ntimobari -
and am an have been a bona Sde resident of ibe State of Florida since day d
! and E reside at •
- ~ ST, I.UG I Est~anaN~l Count ,Florida.
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and this statement is to be taken as my declaration of citizenship. actual legal residence and domide in the State of Florida. !
I
IF FOR THE PURPOSE OF ENROIt.tNG IF FOR HOMESTEAD PURPOSES,
CHILDREN iN SCHOOL, Pt.EASE STATE PLEASE CHECK:
THEIR NAMES:
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- r A D'
I ~ j.
rr ~Ln1F1ED
I FURTHER CERTIFY that I wdl register at my local address x•hFn tht registration books reopen, and comply With all
other requirements of a legal resident of this State. .
I FURTHER CERTIFY that I have no intention to return to m_v former domic9e. and I intend to remain in •
T. U C I E County,
- ICity)
Florida, permanent];. -
- ~p~Del2T ~c ~0.,nieL
UNTy
vti t
l~rE CO1N~ ~ ~ i- -
(Name)
?2r ~ s aL Gr • I~~ n a~n i eL
_ (Aaarea.)
Scorn to and subscn'bed before me this day of
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ROGER POI 7RAS, CLERK OF C IRCU17 COURT ~
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_ ST. LUG ! E COUNTY, FtOR t DA
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- t3Y: '
•
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' EPUTY t:ERK
- ~ a~~ 314 Pa6E 2~~ - . -
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