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Declaration of Domicile and Citizenship ~ ~
50'l~.98
TO THE CLERK OF THE CIRCUIT OOURT.
ST. LUG 1 E o0vnrt~r, FLORIDA:
This is m7 dec4ration of Domidle and Citneaoship is the State d Floe3da that I am 8iina thin dy is aooordana. and in
ooafamitT with Section 2?Z.17. Fbrida Statutes. I
I waa former a legal resideat of IrI t J c ~ A ~~O ~ L'~ ~ ~ _ and I
tp4) 1&w1
resided at ~ ~ 3
~ ~a ~T' - However. I have changed mF domidle to
IBuMt aaA No~o6~r!~/
and am and have been a bona fide resident d the State of Fbrida sirooe / ~ daY of '
,Q
~ 19~,~. aad I reside at 9 ~~~1~ /~c
' 18t~t aed N®bw)
~ ~ ST. LUG 1 E C~ati.I,~i,d~
ICit,~)
and this statement b to be taken as mY declaration d e3tiseas}up. actual lesal reeidsnee and domie~e in the State d Fiocids.
_ If FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
-
. SEP 29 AFt ll= 55
F1LEG RIiC FECORDE``D
S ROGER
0
TRAS A tr
CLERK CIP.CUR COURT
_ _
501198
I FZJRTHER CEATII''Y that I will at m~ local addrasa when the registration books reopen. and with all °
other regninmeats d a kgai r+eaidant at this State.
I FIJA1'HER -CERTI>:'Y that I have no i~eatioa to return tom farmer domio7e. and I intend to remain in
u c 1 E . qty,
- lati?
Florida. permantnu; . ~
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v~
. -ito aae this _sZ.~ daF d
R A K F C IRGUI T CO~tT
ST. LUGIE COUNTY, Fi.ORtOA~.
EPUTY t.ERK
- i~50
a00'K PACE .
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