HomeMy WebLinkAbout2902 _ _ _
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'i U Z"riE CLERK OF THE CIRCUIT COURT,
_ Si'. L UC 1 E COUNTY.. FLORIDA: " .
`;'t'his is my declaration of Donrict7e and Citizenship in the State of Florida that I am filing this day in accordiaoe. and is '
coafornity aitb Section [22.17, Florida Statutes.
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I ti: as fotrirerlr a legal resident of ---`-`-~G.. , ~_-~7flC~ / / ~IC~os~ ana i
. . t71 tstas~`~ C~~
r~ tca Cd at ~'~'.I~i
l !y Nopever. I have changed mJ domic?~e to
(Street a.~d Number) -
a n d a rn and have beta a bona bde resident of the State of Florida since day oI
A p
_ _ 19~,,. and I reside at
_ P~ _ ST. L UC 1 E ~ County, Florida,
t~tyl
znd this statement is to be taken rs my declaration of citizenship, actual legal residence and domia7e in the State of Florida.
IF FOR THE PURPOSE OF ENitOLLING - IF FOR HOMESTEAD PURPOSES .
CHILDREN IN SCHOOLz PLEASE STATE ?LEASE CHECK:
THEIR ltAMESI
455'93
- - X73 A~1G 2I P!t I= 34
3~ ~ CPR£E .F A.
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I : L~ =:i::R C~_a"flr Y tlat I ~:-r71 re~'st.er .-a r,.y log: l ::ddr-cas t:hcn the registration beaks reopen, and co:aply Frith all
;.-gni:er:~eats of a lcgal resident of this State..-
I
I -r L'RTIi£R C~'RT7FY that I have" no inUrnfion to return to m~ former do;nici]e. and I intend to remain in
. T . L UC I E County,
iC"71 -
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~ * ,l ~ cti_ ~ ~;I t•efo: c rr,c this _ it~~~ _ day of /l - _ /~'i/~~ -L~~2CI.Y~~-'
,
~ ~2 ~-~I_ .'_':S~_ Cl~~:r;K__~F CIRCUIT COI,~T - '~'S ,.d7.~''',,.' '
LIME CQU~•JIY, FL0:210A :d .a' .
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