HomeMy WebLinkAbout1292 Declaration of Domicile and Citizenship
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TO TAE CLERK OF TAE CIItCUIT OOURT.
ST. LUC I E Cpv~q~ ~,Og~A;
• This h mT declaration of Domidl. and Citisenahip is tbe. State of 1!7oeida that I am IDinE this dy is aooordaea. aad is
• oontcrmitT with seetloo 222.1T. Florida Statutes. ,
I was i~ a legal resident a[ ~ ~ d / ~ p/J ~ - /Vet of ~ ~ y aad I .
resided at ~ P However. I have chanced mT domicils to
18wet aai HorL~
and am and have bees a bona Sde reaideat aitbe State at>:~orida ainoe ~ S
~ day o[
I 19~y~ a~ I reside u 0~~° ~?A/ A 1 9 / ~y ~ ~
tC'/ .•?~to~/ .ls lg~~,c~ ST. lUG I EBbMta~il~le~D~r1
IC14) ~7• ~7orida.
and this statement is to bs taken as ~ deeLration o[ dtisoenahip. actual legal residence and domidk in tbs State of Florida.
• IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR MANES: `
_ 1980 AUG 27 PN 2~ 03
FuEe Inc F=ppl1coa~o
S R[~f~
POITRASA•
CLERK CIRCUIT COU T
RECORD ~'ERIFIEO__
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~ I FURTFIER CER1'jF'Y that I w~71 register at mT local address when the registration books reopen. and eompb with aD
~ other r+equinmeats of a legal resided of this State.
~ - o
~ I F'IJRTAER CERTff'Y that I have no intention to remma tom former domic9e. and I intend to remain in
i - - - - - - - - U C 1 E . C»ent7.
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Florida. perrmanenti; .
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• worn to and snbeeribed before me this ~ ~ daT of /J `'L' l • rJf~ -i -L--~
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A.D.1~l. .
R A C K OF G IRCUI T COtdF2T
ST. i E COUNTY, f LOR 1 OA
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EPUTY
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