HomeMy WebLinkAbout1476 Declaration.of Domicile and Citizenship - r .
5U4584
TO TAE CLERK OF THE CIItCUIT COURT.
ST . L UC I E COUNTY. FLORIDA:
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- T>sis ~ mT declaration o! Domie~e sad Citisens>sip is the Stars eI >`7orida t)sat i am mina t>sis daF is acoordaaoe. sad io- ~ ;
- oontormitT wlt6 Section !+22.17. Florida Statutes.
I was former a k resident of ~ w ~ ~ ~ 1 sad I
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resided at \ aa~ n w•w rc w oa,A C •c . - Howe.er. I have ehaaaed a~ domieds to
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sad am and have been a bona Sde resident d the State d Florida since a.l s daT of ~
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° ~ sad I reside at Z~ "1'1 . F . l~at 9.~. S~ .
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Qo~~ ST. LUG i E - Caanti.~7orida. -
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sad this statement is to bs taken as m, dee]:ratiao d dtisenahip. actual kgal rsside~e sad do®io'k is the State d I~7orida.
' IF-FOR THE PURPOSE 'OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK: ~ ~
THEIR HAKES: -
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_ f cC !NC FCCORCt V
S RCGER POITRAS~
- CLERK CIRCtfiT^CCU~'.)/J
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- 504584
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I F'[TRTAER CERT~'Y that I wm agistes at mT loci! address when the agisttatioa boolu reopen. and comps w1tL aD
other regts d a kcal r~esideat d this State.
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4 I FIJRT~R CER1'1F'Y tisat I have ao inteatioa to :eta tom former domia'k. and I intend to amain is
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Sweea toaad sabasaked beioe+. me this ~3 ds~ d ~ ~ ~ . ~•.•?.i.e . 'F L
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ROGER POITRAS. CLERK OF C fRGUI T COOT • -
ST. LUGIE COUNTY, FLd210A
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- BY: i i~ - ' - a~ -
~ EPUTY LERK
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