HomeMy WebLinkAbout0901 .
- i~a~ia.~ati~r~ of C~~r~ti~ile and Citizenship
1'(y'!'lIE CLERK OF TH>:: CIRCUI'T Ct1URT.
ST. lUG I E COUNTY. FLORIDA: - -
This is my decluation of Draaicib snd Citizenship is the Slate oaf Florida that I a~a 61ing thls d~ IQ :ocordaace. and in
.conforra:ty with Section 22Z.1T. Florida Statutes. - - .
I was [ormerlZ a legal resident at _ _ - ~ I?~•'t V • c- ~ ~ and I
ICiR~i (8tat~i
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~s ~ Z ~a:. t~~a~.~ 1~a~_~c ~ S z. _ - .However. I have changed nqt domicile b -
- - tStreat sal Nosbd -
and am and have been a bona tide resident d the State d Flori~Ja sins ~ dq d ,
19 ~V - and I reside at S W d , J 2 -
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and this statement is b be taken as my-declaration of eitiaensbip. actual legal residence snd dornid7e in the State oI Florida.
IF FOR THE PtiRPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
- CN I L.DREN I N SCHOOL, Pt.EASE STATE _ - PLEASE CHECK: ~ -
THEIR -NAMES: - - '
- , ~ ~ F b ENO ~O~
- Q,Q. l~ V~~b1 ~h~TE~. ~ ~ COURT
~ V~ Q ~ Sl'~ ?s ~~-1~LXSY)!'4~~Q1~_ VEpIftEO
I FURTHER CERTIFY that I will register it my local address when the regiatration books reopen, and oompT~y with ail -
other regniremEnts of a legal resident of this Stab. -
I FVATfiER CERTIFY that I have no intention to return to m - former domieik. and I iubnd b remain in
- - UCIE y~'. -
((~ty) -
Florida. permanen~l;. -
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Sworn to and subscribed before me this ~°2 day of ~ t"oQr s
~ _ l .x. e~ ~
A.D.19.~_ -
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RQGER P01 TRAS, CLERK OF .C iRCU!
T COt~2T
ST. LUGIE COUNTY, FtORtUA ~
~-~E•PUTY JERK - -
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