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HomeMy WebLinkAbout1387 • • . . . • • D~clara~~on of ©omic~tQ and ~i~~~~ns~i~~ 4~-rs33 TO THE CLERK OF THE CIRCUIT COURT. ' ST. LUC I E QpU~y, ~,p~A; This is aq~ declaration d Domicile and Qti:enship in the State of 1:7orids that I am iRing this dq in aooordaaoe. aed is ooaformit,~ wit4 Sed3oa 222.17. Florida Statutes. ~ _ I was a legal resided d ~L~~ -~-~'y' t-~-~ and I ~ _ ...i tG4) ~ l9erW resided at 3 / o ~ • ~ ~ - $owsver. I have ebaaged mT domio'se to ~ - tBttMt asd - ~ ~ and am and Have been abona Sde resident d tlieState dFlorida since ~ .Q~ daT d ' f 19.~ 0 , and I reside at (Q ~ ~ aif-~ac1 tst~..c aaallamb.rt . , ST. LUG I E . tam and this statement b to be takes as a~ deeLntion of citizenship. actual legal residence and domiq'le io the State d Ffocids. I f fOR THE PURPOSE. Of ENROLL INQ 1 f ~ fOR HOMESTEAD PURPOSES, CHI~OREN IN SCHOOt., PLEASE STATE Pt.EASE CHECKS ' THEIR NAMESS ~~-,f 1980 f~B 29 Ale ~1~ C~9 ~a~c Stec . s;~:~s S~ s°~+T~iis A' a~ac c~RCU~T c~ni l Q . i 4_'T7633 I P'IJR1~R (~R'1'lER that I wID at Ioea1 address when the boat and with all mJ ~ ~n• wpb - otber regtriremeats d a legal resideat d this State. I F[1RTHElt• CEBIZFY that I have no intention to return to m~ forzper domieRe, and I intend to remain is ~ 1 tJG 1 E ~ CaaatT, t~74r1 : - F7ozrda. permanent, ~:n; Sworn to sad snbsr:,'bed belon me thin da,~ d_ . 0.C ~~G C~ ' - I ~e O M Q.c * o ~ i e. ROGER PO i TRAS. CLERK OF C 1 RCU 1 T COtdR T ST. LUGIE COUNTY, FLOR1 . BYt EPUTY IERK - ~ ~