HomeMy WebLinkAbout1566 Declaration of Domicile and Citizenship
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TO THE CLERK OF THE CIItCUIT COURT.
ST . LUG 1 E ppv~y. ~,p~A;
This is m~ deslaration of Domicils and Citizenship io the State d Florida that I am Sling this daT in aaordanoe, and in
eonformit~ with Section 222.17.1<9orida 3Ctutea.
I was formed a legal resident of ~~u i'Yl ~ ~ ' ~ ~ / ~ ~ y / S acid I .
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resided at ~ 7~- ~ ~ [ / OT /~c
J _ Howsver. I have changed m~ domic~7e to
IIInMt sad N~mb.rl
and am and have been a bona 5de resident d the State d Florida sins ~ r dal d
C -t O a f -19~and I reside at
lE~wt aad ombKl
~PT ~i FCC E - _ ST. LUG I E ~„nti, Florida.
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and this:~~ement is to be taken as m~ declaration d eitiunship. actual legal resideaee aad domia7e k the State d Florida.
li FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSE
CHILDREN IN SCHOOL, PIEA•SE STATE PLEASE CHECK2
THEIR NAMESS
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S ROGER
POI
i RAS~
CLERK CIRC~At f~~ -
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I FARTHER CERTIFY that I ~ register at m~ local address when the rsgistration books reopen. and aompb wKh aD
other regniremeaC d a legal resident d this SCC.
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I F[JRTHER -CERTIFY that I love no intention to return to m~ former domicile. and I intend to remain in
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Florida. permanenci, .
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Sworn to aad subscribed betaee me this ~ dad d a
.ROGER POI TRAS. CLERK OF CIRCUIT COtdRT C ~eTRA ~/%Ce~
ST. LUG I E COUNTY, fLOR 1 OA ~ ~ -
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EPUTY LERK '
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