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Declaration of Domicile and Citizonshi
P
48319~T
TO THE CLERK OF THE CIRCUIT COURT. .
ST. lUG 1 E COUNTY, FLORIDA;
This ie nq declaration od Domic7e and Cltisenahip in the State of Florida that I am 81inE this day iD scoordanos, and in .
oonfamity with Section 2?2.17. )F7oeida Statutes. n
I was f rmer a legal resident of ~ ~ ` and I f
1 `
~VR'I ~ y ~~I
resided at ~ ~ ~ However. I have Changed m7 do~mid7e to ,
(8t~t asd NosbK)
and am and have been a bona fide resident of the State of Fbrida since • ~ lU ~da~r ct
. o~ ~~r~ ce_ }
14 and I reside at ~ ~ (MCP
r
• ~ ~C'_-( e_ ST. LUG 1 E connty~ _
tCttyl t
and this statement is to be taken as my declaration of citizenship. actual legal residence and domia'le in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHtLOREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NANESS
C';~ ri s-~~ n P ~ o ~ ~s-e ~ ~
I FURTHER CERTIIF'Y that I w~l register at my local address when the registration books reopen, and comply with aD
other r~egainments ~ a legal resident of this S4te. ~
I F[JRTHER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
U C 1 E may,
_ (Qk~)
Fbrida. permaneatl; .
1980 APR 16 All i~ 44
'`~,,triusrr?q??~~ y~EO ANO ~f6p~pf0
J t,J r, ~~ir $LLUCIE COUtITY.fLLA.
• ~ ~ ' i r~ ROGER PgTRAS
'~;J;' _ p.ERKCIRCUITCOlgtT~ ~ ~
:rr~~• <t
~ .+iv~• RiCO~tD 1'FRI~IFr_~ ~
" . ~
~ ~~319'~
•......r U Mama) ~
C1E'~
~ _ _ (AdBe~a~a)
Sworn to and aubscn'bed before me this ~~y of ~ l ~ r /~JC l t;
1_( R ~ ~ - A.D.19~ .
R R I AS G ERK OF G 1 G I T GOC~tT !
•
• ST. 1 E COUNTY, f lOR t OA ~
BY:
EPUT LERK
. _ i
~~x329 P~~1464 =