HomeMy WebLinkAbout0340Declaration of Domicile and Citizenship ~/
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TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG I E COUNTY. FLORIDA:
ThL is m7 declaration of DomirDe and CItisenship in the State opt Florida flat I am ~g this daT in accordance. and iD
oontormitT wkb Section 222.17. Florida Statutes.
I wan fonaer a legal resident oZ ~I ~'' e e/I !~, /~P , ~~i~,~ 7~~1 ~9/': ~~~e _ ~ I
/~ 1(xt71 18c~W
resided at ~ ~ /C e~S ~a~E s ~ $owever. I have ebaaged mT domklls to
18wa and Nateb~
and am and have been a bona Ede resident apt the State et Florida since ~' ~ ~~ dq e[
<_1rJP~~t~v /' .19...~U andIresideat ~~:~'/ IQSD ~U~/PS~ ~~u~
18a..t aed Mamba)
~~ ~P~~ e ST. LUG I E Count. ~,~
«~l
and thin statement k to be taken as m, declaration et dtisenship. actual legal reaideaoe and domie3k is the state of 1:7oeida.
" If FOR THE PURPOSE OF ENROLLING
CHILDREN IN SCHOOL, PLEASE STATE
THEfR NAMESS
IF FOR HOMESTEAD PURPOSES,
PLEASE CHECK:
1980 DEC -2 PM 2~ 37
f iLEO AMC RECpp 0
ST.L COUNTY A•
R R POITRA
lX.ERK CiRCU1T LOUR
RE6tlR4 ~'ERIf ti'^.__--~
509025
I FUR1~R CERTIFY that I will regi~der at m7 loal addross when the registration books reopen. and oomph with aD
other requirements of a legal resident of this State.
I Ft1R1~ CERTII~'Y that I have no intention to r+etnrn to ~ lorener
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iu~7e. and I intend to remain in j
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Sworn to and snbeaibed before me this dad d
•
. ~ A.D.~
ROGER P01 TRAS. CLERK Of C IRGUI T COl~2T
ST. LUGIE COUNTY, FtORtOA - _ .
' R . ~
' • ~ ~
BY: - - .~
_ EPUTY LERK
g~344 P~f 340 ~- _ i .~~~
Af,(1 Fart-i it 22