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HomeMy WebLinkAbout1584 • ~ . t Declaration of Domicile and Citiienship 481413 TO THE CLERK OF THE CIRCUIT COURT. ST. LUC 1 E COUNTY. gI,O~A; . This L mfr deelatation d Domicile and Citisenship in the State d T'7orida that I am Sung this dy in aoooedanos. and in oonformitT with Seetloa 2?Z.IT. >!loeida Statutes. ~ M I was for a legal resident of W l G / Q le T ~ /F//~ ~ ~ and I . ICtU) letaW ~ resided at 23 ©L~F % 141/Ere~l LJ~IU _ Howevsr.I have changed nq domia'le to 18~+rst asa NreDa1 ~ _ and am and have been a boas Sde resident d the State d Florida since C"! ~ s T dslr d ' I_ '~f3 N U ff 2 ~ .1sa ~O _ and I re.ide at 3 3 3 ~ L ~ ~ ~ O V ~ -,/r~N SCI~J l3Cf~G~+ 18a~••t••aN~1 ST. lUG I E Fla, lac, and this statement is to bs taten as aq dee4ratioa d dti:enship. actual legal residence and domieDe is the Beats d Florida. , ~ _ IF FOR. THE PURPOSE OF ENROLLING IF FQR HOMESTEAD PURPOSES, CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS ~ THEIR NAMESS r 1 190 MAR 31 PR ~ 27 1 E 1~NC~p~'~t1C~YI1DEfLA• ~t~~E~ p" OITRAS ~[p(CIItCWt . CMS ~RIf lEt?" ` 481413 I F(1RTHEB CERTIFY that I ~ at mT local address when the registration books reopen. and eompb wish all other requirements d a legal resident d this State. ~ I FURTHER CERTIFY that I have no intention to retara to former ~ and I intend to remain in U C f E , ~j, L~ ~ ~ 1 - t, _ .r p T ~~ECCU'iiY.~~ ~ to and su6eesmed before me this ~ daj d ,TEAJS EnJ qtr W,C N• ~L I~ . ~rn a,,.cl~ . A.D.19 ROGER POITRAS. CLERK OF GiRCUI T COt~2T ST. LUG i E COUNTY, fLOR 1 OJ1 " = BY: - i ' EPUTY t.ERK 1 BOOK~(A PaGE~JO~,