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HomeMy WebLinkAbout0338 - ~ D~ciara~~on of ©ornicil~ and ~i~~~~n~i1i~ 4'76953 TO THE CLERK OF THE CIRCUIT COURT. ST . L UC 1 E COUNTY. FLORIDA: - This is my declaration of Domict7e and Citizeaship in the State of Florida that I am 51ing this dad in seeordanoe, and in eonfornaitT with Section 222.17. Florida Statutes. I was formerh a legal resident of \ t ~n S D Cd (k ~ ~ Ir ~ and i ICY~I i3tatd resided at . ~ZU ~ ~'-1~!' However. I have changed ~ domic~e to (8trsat and Nambar) - and am and have been a bona 5de resident of the State of Florida since :~.5 ~ ~ IS~. and I reside at _ - ~ (Street and Nnmbae) P r ST . L UG I E Count. Florida. ccsq?1 and this statement is to be taken as m7 declaration of citizenship. actual legal residence and domicile in the State_of Florida. _ IF iOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSESs CHILDREN IN SCHOOLa PLEASE STATE PLEASE CHECK: THEIR NAMESL r-- x'7695:3 - Ig80 FEB 22 P'N ~ 42 faeo kl~c FfcoKO~o S ROGER P01 RASA CLERIC CIRCUI? CCU.RyZy~ I F[JRTHER CERTIFY that I wt71 register at m,T local address when the registration books reopen, a~ oomplT with all other regniremepta o[ a legal resided at this State. I FZJRTAEB CERTIFY that I have ao intention to return to mT former domiede. sad I intend to remain in J T. L U C I E . Couat~. - (Ch1 . - _ Florida. perananemi,•. - ~OUNry~ s' v• } ' _ . Sr i` ~ r: ~a !G ~ ~~.L~ k `/f ~C6'ttN•~ ~ Sworn to and ~ me this e~ ~ ~ tAddes.a - • - . A.D. i~ ~ ~ ~J p Nni, -Fe2 Q YA n~~ # t ROGER P01 TRAS, CLERK Of G IRCUI T COC~tT sib ~ ~OYA ~ ~~M wA~! ST. LUG i E COUNTY, fLOR 1 OA - BY: i EPUTY JERK ~ -