HomeMy WebLinkAbout0774 Declaration of Domicile and ~itizenshi ~f
P
464033
TO THE CLERK OF THE CIRCUIT COURT,
ST . L UC 1 E COUNTY, FLORIDw:
This is my declaration of Domicile and Citisenship in the State of Florida that I am Sling this day in accordance. and in
conformity with Section 222.17. Florida Statutes. _
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I was formers a legal resident of
ICityl lStat~l
resided at . However, I have changed my domicile b
(8teMt sed NumDs*1 ~ ~
and am and have been a bona fide resident of the State of Florida since 11E~.~;~G.~~rS. ' ~y ~
19 ~ ~ - and I reside at ~
~ ST. LUG I E County,.Florida. .
and this statement is to be taken s, my declaration of citizenship. actual legal reaidenee and domicile in tde Sate of i~'iorida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOS S,
CNILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
- ~3~ S CLT 26 32
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SLLUCI~ ~:G!~NTY.FLA.
ftOG~R POITRAS
CIERit ClR~UIT COUYT
s v
4x4033
~ I FURTHER CERTIFY that I wi71 register st my local address when the registration books reopen. and comply with all
other regnirements of a legal resident of this State.
i
j I FURTHER CERTIFY that I have no intention to return to my former domiu7e. and I intend to remain in
, J T~~~ u c ~ ~ County.
ICLty)
Florida. permanents; .
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Sworn to and su);seribed before me this day of '
a
~~o b e r , w.D.19_ ~9 ~ ~ YL%- ~fe ~ ~R b fs~
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ROGER P01 TRAS, CLERK OF CIRCUIT COURT
ST. LUGIE COUNTY, FLORtOA
EPUTY LERK
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