HomeMy WebLinkAbout1973 - -
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Declaration of Domicile and Citizenship ~ ~
4'76065
To~sa~o~~atuvrroovnr,
ST. LUG i E COUN?Y. PLO1t,IDA:
ThM r qT deeLration d DomieDe and Qti~aistp i, th. 8tat. d Florida tkat I v fithE tw av i¦ aeooedaaoe. aed d
centarmiq w~ 8setloa >Ol.1T, .
I was f a Meat resident d - - and I
resWsd d /Gt.~.~-~.- ~Ct"i`-'~~ - So~wrst. I bawte~apd i4 d~oaoielM to
(AheResitteoierl
and am and haw been a boa fide resideatdtbe State e[i+fodds sines / a'~ ~?d
•
~i~-ems" ~ " _ ~~r~~..~
ST. LUCIE
and ttis statement is to be taken as np dsdaratMa d eitise~ip. sdwt Mpt 1 and domicDe io tte S±hte d Florida:
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IF fOR THE PURPOSE OF ENROLLINQ `~IP fOR HOMESTEAD PURPOSESi
CNIt.DREN IN S6HOOL~ PLEASE STATE PLEASE CHECKS
THEIR NAMESt
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aECMe ~
4'76065
I P'UATHEti C,EEtTII~f that I wiD nsbter at mpr Mal adde+sss when the re~tratioa boots reopen. and eoatpy wits ati
other req~remerjts d a Mpt rti3dsnt d this State.
I FtJATHFti CEIt,TIFY t)~t I Lew m intention to ratorn to ~1 foemer domiese. aad I intamd to remain in
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€ Florida. permmem~;.
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sworn toaod wb~eribed before me ttb _..~L..L dq d ~T ~iue/E . ~.9. 33-~i1
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