HomeMy WebLinkAbout1503 Declaration of Domicile and C~t~zensh:p
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TO THE CLERK OF THE CIIiCUIT COURT. .
ST. LUG 1 E COUNTY. FIARIDA:
This is my declaration os Domicile and Citisenship is the State of Fbrida that I am fling this daT in aceordanos. and is
oonformit~ with Section 2?2.1?. Florida Statutes.
I was formerl a legal resident of ~ A~rf~E't_ i~y i~~i9 and I
(Cit71 Igtata)
resided :t ? 't V~~/ ~~`~'e'~ However. I have changed m~ damic~7e to
IStrMt ~sd NamMr) ~
and am and have been a bona bde resident of the State a[ Florida since ~ ~7 of
,~lD ?C r 3£~. -19 ~U _ sad I reside at ~ ~Z `r r o.c.?..vG S ~ yE /.~~?y
lBt~t aed Namb~H
Po27 s~ ~~c.c' ST. LUGIE ~~,~~a,
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and this statement b to be tal~en as np derlaration of dtisenship, actual legal residence and domio7e in the state of Florida.
_ IF FOR THE PURPOSE OP ENROLt.tNG If .FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR MANES:
190 n~~; 19 ;
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I FURT9ER CERTII''Y that I wIIi register at m7 loeai address when the registration boob reopen, and complT with all
other regniremeats at a legal resident of this State.
I FURT~R CERTIFY that I have no intention to retarn tom former domieale. and I intend to remain in
_ U C 1 E , Count.
1(St71
Florida. permanenci~ . ~ -
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Sworn to and snbsar~ed befane me this ~~~_L~.=bti daj a~ f'o 2- ,S % ~ vc i E c ~ ~?3 <t ,rY
~ ROGER POI'TRAS, CLERK OF C IRGUI T CO~ZT
ST. LUGIE COUNTY, FLORIDA
EPUTY ~eRK
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- - 8~~343 Pa~Ei~Oi.
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