HomeMy WebLinkAbout0510 v _
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Declaration of domicile and Citizenship ~
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TO THE CLERK OF THE C1TtCUIT COURT.
ST . LUG 1 E COUNTY. FLORIDA:
This is m7 declantion of Dotaiei~e and Citimnship in the State of Fbrida flat I am 81ins this da,T is aoooa~danoe. and in
eonformit7 wits ;eetion 222.17. Florida Statntet. 1
I was former a kgal resident of ,~iPO !T'o ~Pl~i L i E . d ~ and I
(ptj1 IStaW
resided at /f f'~,E ~ ~ oX 3 ~ ~ A _ However. Ifiade changed mT domicile to
18ir.~t aoa Nnmbw)
and am and have been a bona Sde resident ai the State of Fbrida since ~ ~ ~ ~7 ~
i
l! ~ u S T .19
ga , ana I reside at 1l ~ ~ rGl ~1/~EQ _ ST.PEE' T
Itltiwt aad Nawbw)
/~D r' ~T. L u ~ ~ ~ ~ _ ST . LUG I E Count. F~;d,•
(Abl
and this statement is to be taken as aqT declaration o[ dtiuaship. actual kgal residence and domio7e in the State of 1`7orida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
-CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKt
THE 1R NAMES: ,
'~~TAL ! F iPF.t//9 ~FS TES
~ - f980 AUG 22 59
_ ~iLL~Asn ~.PE~~,ri~,c Esr~:c_~ p~
`t S~i R .~aA.
S
c(~a(cn(ctn Gantt
_ 49'068
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I FURTHER CERTIFY that I wi11 register at m7 local address when the registration books reopen. and oomplT with all i
other requirements of a legal resided of this State. t
l
I FURTHER CERTIf'Y that I have no intention to return tom former domiei7e. and I -intend to remain in
L C D U C E Cotnntj.
_ (City)
Florida. permanenu;.
F
t
• . INamia
S~6,oFn tQ and snbscribe~l,,,Lti~e me this ? Z daT ~
R ER ~ AS G ERK OF CIRCUIT COtdtT
ST. UG i E COUNTY, f LOR 1 O
~ t~
- - BY S ~
EPUTY t.ERK ~ ~
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