HomeMy WebLinkAbout0800 ~.~i~ra~~~n o~~ ~ ~~cile ar~r~ ~~:..:~~;;~s~~ip
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TO THE CLERK OF THE CIRCUIT COURT.
ST . L UC 1 E COUNTY. FLORIDA:
This is my declaration of Domidle and Citisenship in the State of Fbrida that I am Bing this day is accordance. and is
conformity with Section 222.1?. Florida Statute,,s.
I was former a legal resident of ~Lr2 • , and I
11 ~ {~tl ~ tee, lae.i.~
resided at L l . However. I Gave changed my domicile to
IStt~at and NnasbaM ,
and am and have been a bona Sde resident of the State of Fbrida since c~ ~ ~ day of
,19_,~L... and I reside at ~ / ~ 1'~--'Q-~~
18te+at asd Nnmearl
ST . L UG I E 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.
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IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHItbREM IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
FILEoANc .,~oEO
. RC•r' ~ RS
CLER? , :OURT
r - RECUR' -c
Nml ~l 3 3i Pu
6'7785 ~
4
M
I FURTHER CFRTII~'Y that I will register at my local address when the registration books reopen, and comply with atl
other requirements of a legal resident of this S4te.
I FURTHER CERTII~'Y that I have no intention to return tom former domicile. and I intend to remain in.
U C 1 E .County.
1(Sty) _
Florida. permanenti,:
s
{
R
_ . - ~
-
: (Address)
.S~'-
sworn to and me this 3 fl day of ~ ati~ ~•.-c t
e~f ,Nf ele . A.D.19_ 7 Sf~ ~ 0 Zi K
9
- ROGER P01 TRAS, CLERK OF CIRCUIT COURT \
ST. LUGIE COUNTY, FLORtOA
• - .
BY:
EPUTY LERK
ao~x321 PecF 799 ~ .