HomeMy WebLinkAbout0061 Declaration of Domicile and Citizenship ~ ~
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TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUI+ITY. ~,p~A;
This is mT dee~aration os DomieRe aad Citissnship in the State of ><7orida that I am !Bins this dad in aooordaaoe. and is
eontarmitY with Seetion 222.17, T'7orida 8tatnUas.
I was for~aer a legal resident of ~ e 1 ~ ~ ~ Y J- L C • l ~l ~ C' l-~ • and I
. 1G9t7) 18tate)
resided at 18F3 Q e.l l e.y ? ~ ~ 0.. -However. I have ehaaged m,T domia7e to
18trmt aad NasbK)
and sm and have been a bona fide resident of the State of Florida aina _ ~
T ~ daT of
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-`j- -19~.. aad I reside at !e ~D o~ S ~,1J , L V ec e-~-~ • C~~-- -
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sad this statement is to be takes as aqT decLration a[ eitisenship. actual legal reddeaoe and domia7e in the State of Florida.
- IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES, 1
CHILDREN IN SCHOOLS PLEASE STATE PLEASE CHECK: ~ ~
THEIR NAMES:
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C± ERK CIRCUt* CC+'JRF
~i I I?'tJR'1'IIER CERTIFY that I wiD at aq Ion! address when the registration books reopen. and eomp~ with all
''j other requirements d a legal resided of tbts State.
I
~ I F[JRTHER CERTlF'Y that I have no intentiaa to return tom former domicRe. and I mead to remain in .
UCIE
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ROGER P01 TRAS. CLERK_OF' CIRCUIT COt~FtT •
ST. LUGIE COUNTY, FtOR10A
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EPUTY t.ERK -
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