HomeMy WebLinkAbout0051 Declaration of Domicile and Citizenshi ~
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496'T79
TO TIII•; CLERK OF THE CIRCUIT COURT. -
ST. LUG 1 E - ppU~y. FLORIDA: -
This is s41 declaration of Domicile and Citiseaship in the State d Florida that I am iIling this day is aooordanee, and in
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EO[liarIIiiLJ w{W ~G{i{iil f.(i •i{. riYi Wa ~7K~YK.i•
I was former a kgal resident od - ' d ~ I
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resided at ~ a However. I have changed my domieRe to
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and am and have been a bona fide resident ai the State og Florida since - ~'7 ~ i
i9 o v • and I reside at lv 90 ~o ,laff~t ld.•-ate ~d1
(8trMt and Noa?br)
~a/ _ ST . L UG I E County. Florida,
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and this statement is to be taken as my declaration of citizenship. actual kgal residence and domidle in the State. of Florida. - ~
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I IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOt., PLEASE STATE PLEASE CHECK:
TNE1R NAMES: ~
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_ , /~s.ic~.y 1980 AUf 20 AM 9' ~ 0 -
r FILED ANO FECOYRftA. ~ ~
- sr.e_uclE cOUN~ ~
ROGER POI RAS
CLERK CIRCUIT C~;~_
RECORD t~FR:FtLp.---~ {
- 496'T79
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I FURTHER CERTIFY that I w~ register at my local address when the registration books reopen. and comply with sd
other requireme~s of a legal resided of this State.
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~ I F[TRTT3ER -CERTIFY that I have no intention to return to my former domic~7e. and I mend to remain in
U C E County.
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Florida. permanenci; .
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Swornfaaad'sabseribed~efore me this ~ day Of ~
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~ A.n. ~g . o ~0.-~nt eL L. - Cr'~~' M~
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ROGER P01 TRA , CLERK OF G IRCUI T COt~2T ~ '
ST. LUGIE COUNTY, ftOR10A - -
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' EPUTY LERK
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