HomeMy WebLinkAbout1775 DeGl~rati~n of Dorni~il~ end Cotizen5hi ~
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~'0 TIC CLERK OF THE CIIiCUIT OOUAT.
ST. LUC 1 E COUNTY. FLORIDA: .
This is uq deeLastion d Domidls and Citiasnsbip in_tbs Stets d Fk ~+Ia flat I asn filing this d~ in aeoordanoe. aad in
conformity with Section 282.1T. Florida Statutes. -
I eras foc~ a legal resident d S
y_L
p~ U /2~ ~
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tom) t8twl
resided at 9~ ~ ~ e ~ s - However. I bane a'~gea aa1 domia7s t"
csa..e,.a rr~.ee.i n
and am and base been aDonafideresident dtheState d Florida since - ~ ~ ~ d
19_ ~d and I resids et ~'t°y~ ~)/9u/~i l
s9•~-~~ OG ~S O.1~~~~ ~2
~ ~ _ (BtrMt aed No~b~e1
/C,CG~ G ST. LUG! E Oonsitj,~7oeida,
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and thin statement is to be taken ae my declaration d utiaensbip. adasl legal re.ideaas end domidk is the 3tats d FleticL. -
If fOR THE PURPOSE Oi ENROLt.ING If FOR HOMESTEAD~PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS -
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I FURTHER CERTIFY that I wiII regid~er ax m7 local addesm when the re~stratio~ books reopen. and witD all
other requirements d a legal resident d this State. -
I F[JRTAER CERTIFY tbst I have' no mention to ret~a to former and I intend to remain in
U ~ - County
Florian, ~ -
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orn to area subscribed before me this °2 d daj of d /11 ~~1.[~t ~ _
A.D. lli~3G._~ 1
ROGER POI7RAS~ CLERK 01• CIRCUIT CO~tT
ST. LUGtE COUNTY, fLOR1OA - - ~ -
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EPUTT LERK .
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