HomeMy WebLinkAbout2747 • ~ _ -
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'FO THE CLERK OF THE CIRCUIT COURT. ~ Q;aS~89
ST. LUC 1 E COUNTY. FLORIDA: .
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~ 4'his is my declaration of Domicile and Citittnship in the State of Florida that I am fling this day in socordanoe, and is
conformity witb Section 222.17. Florida Statutes.
1
I was formed a legal resident of ~ - ~ I
lCtty) tStat~ ~
resided at ~ y ~ 7 F /o,,rP~`! ~ - Iloweves. I have changed my domicile to V
(Street and Number)
and am and have been a bona fide resident of the State of Florida since ~ dal ~ - ~ 1
n l ~S-1~/• !7 ~ d ~d
7F' _ 19~.. and I reside at ~ (o fo ~ r1/[/Pr AN _ ~
(gtrestandNnmberi;"
• f' Sf. .L v ST. LUG I E s - - !
County, Florida.
l(xtyl i
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
Ii FOR THE PURPOSE OP ENROLLING If FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL., PI EASE STATE PLEASE CHECK: ~ ~
THEIR NAMES:
/l/~i c1i~~/ L . C/S.S~1l.~- ~ -
1919 AEG 20 PM 2 55
. _ •
CWT COURT -
l~~! VERIf'tED
: I FURTHER CERTIFY that I will register at my local addre9s when the registration books reopen, and comply with all
other requirements of a Legal resident of this State.
I
I FURTHER CERT'IF'Y that I have no intention to return to my former domitt7e, and I intend to semain in
~ _ T. U C i E ,County
_ lCnyl
l~'lorida. pcrmxnentl~:
. _ - ~ ~
~ -
~ ~
ti
~ (Address)
cF+orn to and subscribed before `r dsy of I!'~ipT G
- A.D.19
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ROGER PO I ~fRAS, CLERK OF I RGU I T COURT ` ,
ST. LUG 1 E .COUNTY, FLO41.O
,
E3Y: ~ -
' _ EPUTY IERK _
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