HomeMy WebLinkAbout1212Declaration of Domicile and Citizenship /
' SU9533
TO THE CLERK OF THE CIRCUIT OOURT.
ST. LUC 1 E CpU~y, Pjp~A;
TWs d aoT dee4ratlom of DemieTle and (~itiasnsbip is the State of Piosida that I am lmag this dq is aooordana. and is
eootamftT wltb Section 228.17. Plaida Statutes. tt..
I was i~ a legal reaide~ d N~'~ BV'R ~ /~ ~ ~ and I
~ 1 IQtts1 l8tatel
resided at ~~ 3 0 ~ 0 ~ RS ~ D - 8o..eet. I bare changed ap domidls to
tea..c.eaH.a.d
aal am and Gave been a bona fide resided attbe State d27orida since ~ ~ dq o[
Il(0 V EI'! !J ~' R .19~. and I reside at ~~~ ~d L ~ D l~ r OL 7
~F N S~ $ t~l~-~ N~ ST. LUC I E~~N~
td4) Conn4. Fbcida.
and this ststement is to be taken as mT declaration et eiti:ensbip. actual legal residence and domia'le is tbs State et Plaids.
" IP iOR THE PURPOSE OP ENROLLING If FOR HOMESTEAD PURPOSES,
CNIt.OREN IN SCHOOL, PLEASE STATE PLEASE cHECKZ L/
THEIR NAMES:
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19E0 QEV -8 JIN 11. Q3
S ~~E~~;~~~.
CLERK CiRCtHT C~ _
PE^nkn ~'" Rif tt t' ^~"
SU9533
T FURTHER G'ER1'IF'Y that I wfll st ~ lod address when the registration boob reopen. and eosoplT wkb aU
other requirements at a legal res3de~. al this State.
I FTJRTHER CERZ'1F'Y that I base no inttatioo to ratma to >~ former domieRe. and I intend to remain io
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to~~
Fbeida. permanenzi,,•.
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Sworn to and subeaibed beioe+e me this daj d
ROGER P01 TRAS. CLERK OF •C IRCUI T COt~2T
ST. LUGIE COUNTY, fLOR10A - .
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- BY: c~ ... ..,
EPUTY IERK
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