HomeMy WebLinkAbout2186 Declaration of Domicile and Gitiienship
462992
T'O THE CLEF.K 4F THE CDtGVTT COURT,
ST. L UG I E CpU~Y, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing Lhis day is sceordance, and i»
conformit~? with Section 222.17, Florida Sta tes.
I wu formerly a legal resident of and I
• ~ 1~t7) lState)
resided at . However. I bave cbaaged my domicile to
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and am and have been a bona fide resident of the State of Florida since day ~ -
• " 'mi'l
19~ and I reside at~~~
~ ST . L UG I Est".c aoa ivvme.r)
County, Florida,
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and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
OAT I $ 22
Ftl;O ~"i~ C~~i~.~su
SLLI;CIE CGuVTY.fL:..
ROGtR PQlTR~:S
CLEF.K C!R~l:!? CGl'3 r
462992
I FURTHER CERTIFY that I wt71 register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
I FURTHER CERTIFY t I have no intention to return tom former domicile. sad I intend to remain is
T. U C I E ,County.
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Florida, permanenti; .
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Sworn to and suYiscn'bed before me thin ~ ~ day of r l ~Ti e!'C
Ob E . A.D.19i / 9 ` /'~lOt./'~/ t}N:~( ~~N PA k~4s~
.ROGER P01 TRAS. CLERK OF CIRCUIT COURT
ST. LUG 1 E COUNTY, fLOR 1 OA
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. EPUTY LERK
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?x 318 I+~~F 2180
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