HomeMy WebLinkAbout0321 Declaration of Domicile and Citizenshi
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TO THE CLERK OF THE CIRCUIT COURT.
St. Lucie COUNTY. FLORIDA,
This is my declaration of Domicale and Cttisenship in the State of Florida that I am filing this day in acoordanoe. and in
conformity with Section 222.17. Florida Statutes.
I was formerly a legal resident of Pa rar~a r; hr, ~ Suriname ~ $ ~ ~ and I
ICit71 IState)
resided at Suho2 a ~ Livorno 1 , However. I have changed my domicile to
(Street and Number)
and am and have been a bona fide resident of the State of Florida since 24th day ~
August ,19
79
-andIresideat _504 Ixoria Av~_ Ant_ A_1
(Strad said Number)
Fort PiP_rcP ~ ~ Sa; n1- i_nri a COUnty.l:'lorida.
1(~tll
and- this s4tement is to be taken as my declaration of citizenship. actual legal naidenoe and domicile is the State of Florida.
~ HAVE RESIDED HERE FOR SEVEN MONTHS AND INTEND TO BECOME A
U. S. CITIZENS ANO REMAIN IN FT. :~IERCE~ ST. LUCIE COUNTY FLA. -
AKD MAKE THIS NY PERMANENT RESIDENCE.
i9~ APR -9 Pk ~ ~18
~~~WCI K~O~l~MYY
FLA.
11~~C~T RAT
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all .
other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain is
. County,
tCitl)
Florida. permanently.
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a~
i ~7
_ • ~/-t, (Address)
Sworn t0 and subsrn'bed before me this T~ day of ~
. ~ F/~ ~1 f~ / S C GL 0.N "d e t2 ~0 ~
` - ~ A.D.19
Notaq Public t. d Florida at Large
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My Commission expires _ -
BOOK JS.i7 Pt~E
ITo be ezecuted in duplicate and original filed writh Ckrt Cinuit Court, and dupliate wKb Ts: Assessor)