HomeMy WebLinkAbout0313 Declaration of Domicile and Citizenship y'
SUS'' ~
Tfl THE CLERK OF THE CIRCUIT COURT. .
ST . L UC I E COU~Y, ~,O~A;
- This is m~ declaration of I)omie9e and Citi~.enship in the State of Fbrida that I am filing this dad in aooordaaoe. and in
ocniormitT with Section 222.17. Florida Sta~utes.
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I was formerh a kgal resident of S- t ~ . ~/F t? ll~,L~ and I
IQtJI 18tat~)
resided at ~ ~ ~
~ '~~i " S ~t a- c f /T~ However. I have changed m~ domict7e to
18trNt asd NumE~)
and am aad have been a boas tide resident of the State of Fbrida since __7 dad of
19
8C ~ and I n~ide at . /~/crlil F f~a t' fig
~ f~~
(Swd aed H®b~r)
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%~P ~ ~ F ~ ST. LUGIE
Halal
and this statement is to be taken as rep deelantion et citisemhip. actual legal residence and domia7e in the State at Florida.
- If FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
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i
5U'732'7
I FURTHER CERTTFY that I w~71 register at m~ foul address when the registration books reopen. and oomph with all
other regniremeats of a legal resident oaf this State.
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E I FURTHER CERTIFY that I have no intention to return tom former domies.,e. and I intend to remain in
U C 1 E , ~~J,
IGtr) .
~ Florida. permanenu; . ~
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. ~ s.
Sw'a'sl to and snbeedbed befae+e me this dad of
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1 A.D.1~•~
ROGER POITRAS. CLERK OF CIRGUI T COC~2T
ST. IE COUNTY, FLORIDA
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_ _ EPUTY LERK
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