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DECLARATION OF DOMICILE AND CITIZENSHIP
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TO THE CLERK OF THE CIRCUIT -
COURT OF ST. LUCIE COUNTY, FLORIDA:
This is my,declaration of Domicile and Citizenship in the
State of Florida that I am filing this day in accordance, and in
conformity with Section 222.17, Florida Statutes. ~
I was formerly a legal resident of Brookfield,Connecticut,
and I resided at 3 Shirley Court. However, I have changed my
~~d mi ci
o le to and am and have been a bona fide resident of the State l
of Florida since the 3rd day of August, 1980, and I reside at
900-6 Ro al Palm Wa Fort Pierce, St. Lucie County, Florida, and
this statement is to be taken as my declaration of citizenship, ~
actual legal residence and domicile in the State of Florida.
s
I further certify that I will register at my local address
when the registration books reopen, and comply with all other
requirements of a legal resident of this State. -
'I further certify that I have no intention to return to my
former domicile, and I intend to remain in Fort Pierce, St. Lucie
.I
Cod unty, Florida; permanently..
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I
Robert E. Ward
F
_900-B Royal Palm Way
Fort Pierce, Florida 33450
Sworn to and subscribed before me
this .3~ ~ day of August, 1980.
i
N ary P i,c, tate of F on a
at Lar e. My commission expires:
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. ~ ~ ~ c 1980 SEP 26 ~ ~ 55
FILED I?MG ~EGORD;p r .
;-'•~,4'•~ - S1 L!lCIECOUNTY.F A.
~ ROGER POITRA~
CLERK CfRCUiT C4 -
• PECtMtp vFArTr[C_ C~ _
8~ 1 ~ i
°x339 ~~GF 54~
Smith, O'Haire, Thatcher b Quinn, Attorneys At Law, P. O. Box 1030, Vero Beach, Florida 32960
(305) 567-4351 - .
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