HomeMy WebLinkAbout0527 Declarafiion.of Domicile and Citizenship .
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TO THE CLERK OF T>~ CIIiC[lIT OOURT. -
ST . L UC 1 E COUNTY. t-ipRIDA:
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• This is m~ declaration d DamieOe and Cititeaship is the State of Fbrida that I am mina this dq in aooordanoe. and in
• ooatormit~ wltb Section 2?Z.1T. h7arida Statutes.
l was i~rle a kgal resident d ~/d ~uA/ - - /17a /'t/t" and I •
ICk71 ~ 18tat~1
resided at ~ 3 S c~?-ll?A s~' _ Ho~w~s~rer. t haw ebaaaed m~ domie~e to. _
and am and have been a bona fide reaidant d the State d Florida siren ~ ~ ~ ~ ~ dU od
1, ~~O ~2 _ 19~~ and I reside at - ( o~ (i+ k C~ t9 t~1 ~ e r l~l ~
tsa..c..a Nam?
Pe 2T . `~~~c ~ t= _ ST. LUG 1 E ceuat,.Flo•~aa.
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and this statement is to be taken as aqT declaration d dtiseaship. aetnal k6al residence and domicile is the State d Florida.
" IF FOR THE PURPOSE 'OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHILDREN !N SCNOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES: ~
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-IrYI AteK s . ~ 1
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• l9~0 QQT 20 FQ 2~ 04
- ~ i:IIEL' RAC. F:.l't~i!LcU
Si.l~'CIE COUYTY.f t A.
' ROGER POltft~.S
• CLERK Ch~CU1T C~Li'iT _
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I l:'[JRTHER C1~1'1bR that I ~n71 resister at aq bcal address when the regidratioa boob reopen. and aomp~ wlth aD
other requirements d a kcal resident d this State.
I FIJATHER CERTg'Y that I have no intention to return tom former domin'le. and I intend to remain in
u c 1 E _ CountJ.
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~orida. p~i+;
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~ R A C~ K F G IR UI T COtdtT -
ST. LUGIE COUNTY, FLORIDA ~ _ _
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BY:
PUTY LERK
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