HomeMy WebLinkAbout0606 Declaration of Domicile and Citizenship
4952`x"7
TO THE CLERK OF THE CIItCUIT OOUAT.
ST. LUC 1 E IDOUNTY. FI,pRIDA:
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This is mT declaration d Domie~e dad (Iitisoenship in tM 8tate d Florrida that I am !dins this daT is aoooedaaoe. and is
ooniocmttT with Section 228.17. Fbrida Statutes.
I was former a legal resident of -~-N-~-~~ . and I
18t~td
readded at sal ~ - ~ J ~ - However. I base changed ms dome to
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and am and have been a bona iZds resident dthe State d1!7orida aiaoe o ~ f. -^n ~ ~ das d
19~. and I reside at ..7~~_ ~ -
18t~.~t dad Nmbal
~f"~.,~ -~0,, ' _ ST. LUG I E coaati. Florida,
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dad this statement is to be taken as ms deeLration d eitisenship. acinal legal rbsidenoe dad domicile is the State d 1~7arida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CH I t.OREN I N SCNOOt., PLEASE STATE PLEASE CHECKS
`THEIR NAMES:
~i 'l I ~~.eJ.cOw ~ D.
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q80 AIlG -6 IIM Ilt 28
~_r ~ 1~CIE ~~p_~F4
ST~to6ER PORRASA.
• ~ tXEItK CIRCUIT T
RECORQ vERIF1Efl -
4952'T7
I FURTI~R GERTII~'Y that I wdl register at mT loe~l address when the registration boob reopen. dad oomph with all
other requirements of a legal resident of this State.
i
I F[JRTHER -CER1'1FY that I have no intention to retard to m~ former domia7e, and I intend to remain in
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J 1. L y 4~~ CiOlmt~.
j 1(~tr?
~ Florida: permanenu; .
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' • i••ipt7reto ~ ~ ~ ~1~bKribed before IDe this ~n ~ia~ d ~l
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R ER S C ERK OF CIRCUIT CO~FtT
ST. LUGIE COUNTY, FLORIDA ~ -
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EPUTY LERK '
_ III ~ PAGE ~ . ~ ~
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A~0 Fora. 22
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