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HomeMy WebLinkAbout1637 Declaration of .Domicile and Citizenship 4645'70 TO THE CLERK OF THE CIRCUIT COURT. ST. LUG i E COUNTY. FLORIDA: This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance. and in eonformit~ with Section 222.17. Florida Statutes. ~ ~ 'I was tormerl a legal resident of ~ © vLQ _ and I IGtityl 13tate) resided at t~`~ . However. I have changed my domicile to 18traat and NumbK) ' and am and have been a bona fide resident of the State of Florida ainee L`/ ~ ~ ~ day of ,19~. and I reside at ~ ~1~~~~~ ~ ' ~ ~ ISt,rat and Nnmbarl ~ ~ eas ST . LUG I E County. Florida. . ICtt~l 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: ~~~~~Q ~ ~~,L i - I FURTHER CERTIFY that I will 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 that I have no intcation to return tom former domicile, and I intend to remain in ~ U C 1 E ,County. ~ ICit~l ~ Florida, permanea~i,. ,~~5~10 FtLc0 lhj"~. t:G~ t~ ST. LUCTE C~'J`I i Y. F ROGEfi FOiTi<AS ' CLERK CtF.CJ!? C-~ ~j M Sworn•to and~sUbscn'bed before me this day of ` ~-s- ~ ~ F / Y tJ V A. .19_ ~9 j T , ROGER P01 AS CLERK OF IRCUI T COURT ST. IE COUNTY, FLORID _ BY: ~ EPUTY LERK ~ f i , a~x319 p~~E1~30 - . AGn Form "1 ? ~~y `