HomeMy WebLinkAbout0958 Declaration of Domicile and Citizenshi
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500'732 .
TO TiIE CLERK OF TIIE CIItCUIT OOtJItT.
ST. LUG 1 E aptly, Fi.ORIDA:
This is mT dselaratiou of Domieile sad (xtiseaship in the Stag al Fio~ida that I am ~ thb dq is aoooedaaoe. sad in
oootormity wkh Seetioo 222.1?. Floeida 8tawte:. _
I was Corm 1 a kgai rasideat of ~A L C ~ N O / i4-i?~4 sad I
. ~ ~ ~ ~ ~cw~ ts~t.~
resided u - However. I have ebaassd m,T doo~idle to
18en~t sad ItssbK)
and am and have been a boos Sde reddest ettbe State atFiecida siooe L CO - ~ ~
p~ SUO~ ~
A,o T
S
.07E~71~E
/L 19~1G and I reside at - -
1ea.aa.eH..Mr!
i ~i2 c ~ L.4~cv cJ oo V _ ST . lUG 1 E ~ g~a,
ttRbi
sad this statement is to be taken ss sn,T dedaratioo d dtiseasbip. aetnal ksai :+asidenes sad domie~s is tbs State d F'Iaeida.
IF FOR THE PURPOSE OP ENROLLING IF POR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
~ 1980 SEP 24 A!I il~ 17
fR.Ee aHCpF~cp~c~oRnfo
S ROGER
POITRA~A•
CLERK CIRCIHf~
j~~
Rf~OflR~'~ R!i~f'!_ _ r
_ ~w~/ t ~/~/V
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I FtiltlTiEK CE[tTff'Y that I wifi t+spst~sr at np ioai address wbea the rsgistratioo boob rsopea. and ~ with aU -
f other rsqubemeats et a kKal :eddeat of this State.
{ I FtJRTSER -CERTII~f _ that I have no iateation to return to mT former domiab. and I intead to remaia in
- U C 1 E _ CoontT,
- ~ iE.eCC tCit71
Fbnda. Pesmaaead~ • ,
- '
~ COUNTy
c:ERi~••.,~ CO
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• ?`~F ~'CUBT'~ •F~~ SDD CO ~~M..d L CCU
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I Bwsen toasd sab.arfb.d bsfon ms this ~
. ~.n. i~~ PAS / ~ ~ d eM
ROGER P01 TRAS. CLERK OF CIRCUIT COt~tT
ST. LUGIE COUNTY, FLORiOA
• . ~
- - BY: . ~
EPUTY LERK
't7~T
c~ PAGE .~;i
- AGO Form 71.22