HomeMy WebLinkAbout1370 Declaration of Domicile and Citizenship
483130
TO THE CLERK OF THE CCTIiCUIT OOURT.
ST. LUC I E oOVNTY. FLORIDA:
This b my declaration of Domia'ls and Citisenship in the State oI Florida that I am Sling this dq is acooedanoe. and in
conformity with Section 7.~Z.17. Florida Statutes.
I was f
~ a legal resident opt f E'- ~ sad I
~ (Qtly) (Slats)
resided at `fir / /d U ~ X ~ ~ - However. I have changed my domin'le to
Ultewt atl NobH
and am and have been a bona fide resident of the State o[ Florida since ~ day d
Q 19 and I aside at f ~ ~D SQ~°
gltewt sad Nsb+e)
~ ~Q ~ ~ ~"U ST . •LUG 1 E County. Florida.
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and this statement is to be taken as nq declaration of eitisensbip. actual legal residence and domicile in the state of Florida.
_ IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK.:
THEIR NAMES:
X980 APR I S PM ~ 18
~r~Eo
UICUIT CdUltt/
RECOftl1 VERtFt~'D_ ~ tf
48.3130
THIS IS BEING RE~RECORDEO TO CORRECT THE DATE OF RESIDENCY ON THE
DOMICILE FOUND IN O R BOOK 327 PAGE 2792
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I FURTHER CERTIFY that I w~71 regirter at my local address when the registration hooka reopen. and comply with all ~ j
other requirements of a legal resident of this State. ~
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I F'[TRT'HER CERTII~R that I have no intention to r~etnrn tom former domicile. and I intend to remain in
- - U C I E :.County.
(Qtly)
Florida, permanend;
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l;av, rf'iN7Y.
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Sworn to and snbsen'bed before me this / ~ day of - ~
• _ -
ROGER POI TRAS. CLERK OF CIRCUIT COC~2T ~~.I ~e~ ~ ~
ST. LUG I E COUNTY, FLOR 1 DA ~ p~ Y'A t:~c e ~e-) - ~a
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EPUTY LERK
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