HomeMy WebLinkAbout0035 Declaration of Domicile and Citizen~shi ~
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SU1894
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E Fj,O~A;
Tills is mT decoration d Domicile and Cititeaship in the State d Florida that I am ~ this dq m aeooedana. and io
ooalotmltT witb Section 222.17. Florida Statutes.
I was forme a kgsl resideat of u ~1~~_t(/ D _ /./U ti _ and I
. t(St71 18ta<tl
resided at F&~ ~ ooeR1 ~ - Howe~/ver. I haw changed m~ domio7e to
and am and love beea a bona fide rssideat d the State d F7orids since - .T tJ L.- ! _ ~ „~7 ~ d
29~~ and I reside st ~ ~ `7 ~ ~C~f ~iU T ~ U 1-S Tll1
~~~T ~ L- U 1 ~ ST. LUG 1 E~~~~
(O1tl Caonti. >F'loeida.
and this statement is to be taken as mT dee]aration d citiaenahip. adnal legal :esidenoe and domicile is tbe-State d F7~ocida.
IP FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKL
THEIR NAMESS
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5U1894
} n s ~ FNt h! LLrili J
SLL~C{E CO~INi i.Fl A.
ROCaER PO(iRAS
CLERK C!R£U!1 COLRyty~
I FURTHER CERTIFY that I will register at mT local address when the regnttrstioo books reopen. and eomplT with aII
other requirements d a legal reaide~ d this State.
I F'[JRTHER -CERTIFY that =I hsve no intention to return tom former domicile. and I -intead to raznain in
~ u C i E ~ti,
Florida, permanenti; . - -
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(Addnarl
Sworn to and aubaaibsd before me this 3 daT d
,c~~-l~.~t- . e.n.1~~. G/e n~ Ce f f e/~
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ROGER P01 TRAS. CLERK OF G IRGUi T COt~tT
ST. L UG i E COUNTY, f LOR i OA ~ _
• EPUTY t.ERK '
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a~K340 PAGE 35 ~
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