HomeMy WebLinkAbout1154 ~v L E ~ ~i,I. ~ E ~ : ~ t ~ t 1 E l,.v ~..t ! ~.1t;. i 1 vi L E 1 ' • r"
- 460485 ~
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TO THE CLERK OF THE CIRCUIT COURT. _ •
ST. LUG I E CpUNTY~ FLORIDA:
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This~islq~ deeelaration d Domidle and Citisenship in the State d Florida that I am fling this day is aeoordaaos. and in
conioranib with Sedioa 222.17. Florida Statutes. -
I was fortneA a legal resident d ? Pn ~T o - ~ ~ snd I .
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resided at l~p ~19,~0 ~/n ~ /q~/G However. I h:ve changed my domieDe to
18trNt and T~lambad -
aad am and have been a bona Gde resident of the State d Florid: sinoeT~,~•~ ; day d
.ofPn'?~le,~ ~ 19,~. and I reside st /~D / /T/~OSo ~~~ll
~ - (8tr..t gad Nmabad
- ae~ ~7`- ~,~~ci ~ ST. LUG I E
If~l County. Fbrida.
and this s4teme~ is to be taken as my declaration d rititenship, adusl legal residence and domin7e in the State d Florida.
Ii FOR THE PURPOSE OF ENROLLtN6 IF fOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE Pt EASE CHECK: r't/-'-] -
THE1R NAMESS ~ ~ 1
t9~9 SEP 27 ' A~ ~ 40
F Leo aN0 RECO~oEo
ST LUCIE COUNTY.FLA. •
ROGER POITRAS
_ - CLERK CIRCt!!T CO T Q,..,
Rc'CORO VE31F1Efl ~t~~
460485 -
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I F'URTIiER C,ERTIF3C that I w~7t register at my local address when the_ registration books reopen, and comply with aU
other requirements d es legal resided of this State. -
I FURTAER CERTIFY that I have no intcatioa to return to m7 loaner domiede, and I intend to remain in
7. U ~ I E . County.
lCSly)
Florida, permanend~
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~4'cOUN c
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Swam to and snbsa~-bed §efore me this 6 day d Q
- • . ~s_ 7q ~ -~Rofh L ~wR env c e~ - '
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ROGER PO 1 TRAS. CLERK OF G i RGU 1 T COURT
ST. LUG I E COUNTY, f tOR t DA _
BY: - •
EPUTY LERK ~
0317 ~ ~ t
6UOit PAf,E ~ -
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