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Declaration of nor~ic~le and Citize s p
4'Ti6l99
TO THE CLERK OF THE CIItCUIT COURT.
ST. LUG 1 E COUNTY. FLORIDA:
This is my decoration of Domic7e and Citoenahip in the State of Florida that I am filing this day in accordance. and in
rnnformity with Section 222.1?. Florida/Statutes. /
I was fob a legal resident of w ~ ~ ~4 ~ ~ and I
1 ' 7) (Slat.)
resided at n~~ ~ However. I have changed my domicile to
IStnat and Plumbae
and am and have been a bona fide resident of the State of Florida since = A ~7 ~
f~'~.~. ~ - ,19~ and I reside at P.v~Lt/d 6 0~/~- ~
IStraat sad Names)
~.ie7'~~~ ~(/e, ST. LUG 1 E County. Florida.
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and this ststement is to be taken as my decoration of citizenship. actual legal residence and domie~7e in the State of Florida.
IP,FOR THE PURPOSE OF ENROLt.ING IF FOR HOMESTEAD PURPOSES,
CHIt.OREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES: _
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1980 JAN -7 PEI 2 13
FILfO ANO RECOltt)f U
ST.LUCIE COIRITY.Fli1. j
ROGER POITRAS ~
ttfRK CIRCif1T CGL'sTt
RECORDVER!FIfO_
4'7'L~689
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~ I FURTHER CER1'IF'Y that I w~71 register at my local address when the registration books reopen. and comply with all
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other requirements of a legal resident of this Sbte.
I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
U C 1 E ,County.
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Florida, permanend; .
Q`J~~ & CpGy~ ~
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Sworn to and subscn'bed before me this ~ day of
ROGER P01 TRAS, CLERK OF C IRCUI T C01'dRT
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ST. LUC I E COUNTY, FLOR t QA -
BY: J
EPUTY IERK ''IIrr~~ec~~
_ 800! ~NGJ PiGE
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