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HomeMy WebLinkAbout2260 ©~clara~ion of Dor~icilc~ and Ci~i~~nsiii~ 4'7212 TO THE CLERK OF THE CIRCUIT COURT. ST . LUG 1 E COUiV'i~Y, FLORIDA: This is mp decLration of Domicile and Cltiunship in the State os Florida that I am filing this dq in accordance, and in coaformit~ with Section 271.17. Florida Statutes. ` / i I was former] a legal resident at I~ l>,~I ~ u~ Y C and I # _ ~r t(ar) t8<ate) resided at ~ 6 J ~ ~ ! ~ S / - However. I have changed mJ domie~le to (Strut and Nambir) - ~ and am and have been a bona Sde resident of the S4te of Florida since ~V ~ 19~Q_. and I reside at ~ ~ S ~ (Straat and Nambad ST. LUG i E Florida. 1 tc~ and this s4tement is to be taken as m~ decLration of citizenship, adnat legal residence and domiet7e in the State of Florida. • F If FOR THE PURPOSE Oi ENRQLLING If'~fOR HOMESTEAD PURPOSES, CHILDREN !N SCHOOL, PLEASE STATE PLE'IISE CHECKS r, ~-1 THE 1 R NANESS i~. NAR -5 III ~ 09 couRtp ~ aEinfiEO._..~ T 4'7~~ I F'IJRTH~R CERTIFY that I wiII register at m71oea1 address when the registration books reopen, and ~mPb with aII other ngnirements at a legal resident at this State. I FURTHER CERTIFY thst I have no intention to return tom former domicile. and I Intend to remain in ,,b,c T. U C I E Cottntj. tatc~) Florida. permsnenth-. j ~7l.~oS ~ - . . - ::i t ~ _ • J • - Sworn to and snbstribed before me this dad C~_ Q? . . A.D. i!~ V R I A CLERK OF G I R U I T COtdI2T ST. LUG 1 E GOUNTY, f LOR i OA - 8Y: EPUTY LERK ~ - 600 ~ taGE j