HomeMy WebLinkAbout0320 Declarafiion of ~on~icilc: c~?~.i Li~~zcnshi~ ~
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FO THE t~.ERK OF THE CIRCUIT OOURT.
S~'y LUG 1 E CovrITY. FI.oRroe: ,
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~ l7~is b m~ deeLratioo d DomicOe and Cltu~enship in the Stab d Florida that I am Slinj this daT is aoeardaaea. and b
conto~~mitj wttb Ssdion 222.1T, b7orida Statutes. , `
I wa:lormerl a kgal resident o[ ~df~-~~ _ ~ and I
lCU7l !lltabl
st o~OS'- Q~ - Aowevec.I have ehanaed m,~ domieDe to
lSt~+st aed Nmabd
and am and have been a bona Ede resident oaf the Stab d Florida since / 9 ~7 d
- - ~ - and I reside at ~-3 ~
1~ ~
. - 18erMt aed lioab~l
(.~t•LL ~ _ ST. LUG 1 E CoIIntF, F7arida. .
and this statement is to be taken as m~ declaration of citizenship. adual legal residence and domide is the Stab d Florida.
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If FOR THE PURPOSE OF ENROLLING Ii FOR NONESTEAO PURPOSES,;;
CHILDREN IN SCHOOL,~PLEASE STATE PLEASE CHECl4:
THEIR NAMES: ~
~ C~'P.~
~ rn
t
_ ~ ~ tv~~u
TY FLA.
1
p - ~ hTEpRgYERlFtED
i
I FURTI~R CERTII~'Y that I w~ register u ml foul address when the registration boobs reopen, and ~mP17 with all
li other requirements d a legal reside. of this State.
l
I F[TRTHER GER1'g'Y that I have m intention to return to m_v iormer domie~7e. and I intend to remaia in
! T. U C I E _ CountT.
i - !(Sty) .
Florida. permanencl;.
OUN TY
~N
v': . {o~ ~I C' C~U~'Il1 .
~~'~E ~:cum • tNaod
Sworatoasd sobsasbed before me this daj d -
A.D.i9: _
. .79
G K Of CIRCUIT COURT
ST. LUG1E COUNTY, FLORtQA _
• .
BY: , -
~ _ PUTY EERK
a~K3~.5 PacE 3~9