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HomeMy WebLinkAbout2134 , ~~~lara~i©n o~ aornicilc~ and Citii~~~si~i~ 4'i~106 TO THE CLERK OF THE CIRCUIT COURT. . ST. LUG i E ppv~y, ~,O~A; This is m~ declaration d DomieDe and Citisenship in the State d Florida that I am iRing this dq is aooordance, and ie ooaformitj wkb Ssetioa 222.1?. Florida Statutesr~ ` ~ I was formar a kgal resident d ~ !7 d Nf N~w r o~CK and I resided at Svc" M / T ST R F'~ 1 Aowever. i have cbang~ed ~ domicile to , 1&rmt aaa NomD~y - and am and have been a bona Bde resident tithe State dFlorids since °2 ~ r~ ds~? eE ~1 o U1rM .1! ~ 9 and I reside at ~G ~ ~v w ~4a~N~~ f~y~i~/~/f ~d~=r- Sr ~ ~ f ST. LUG 1 Es~..c..aH~ Count. Fbrida. u~ _ . and this stateme~ is to be taken as mT decLration d eitisenship, actual kgal residence and domia'1e in the State d Florida. . - i IF FOR THE PURPOSE Of ENROLLING If FOR HOMESTEAD PURPOSES, CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK: THEtR NANESS 4'78106 . ~ i~ilR -4 i'~ ~ 2 f . • - T f~IIRT s I FURTHER CERTIFY that I wiD register at ~m,T local address when tha registration books reopen. sad witL all other requirements d a k8d resident d this Stale. I FURTAER CERTII<'Y that I have no intention to return tom former domicile, sad I intend to rearain in s U C I E ~ , CouatJ. . _ Florida, permsnentl,'. t 1 , ~ . a Sworn to and snblm3ed beior+e me this ~ dry oI_ r p ~ st . ~ J ~ F~q - ~3 y~L ~ - ~6 / /V. N/ 19Rc~eQ ~Ivp, ROGER POITRAS, CLERK OF GIRCUI T CO~FtT , ST. LUC I E COUNTY, f LOR 1 OA ' EPUTY LERK . • . - ao~326 PA~2~.32 ~