HomeMy WebLinkAbout1214Declaration of Domicile and Citizenship ~~
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TO THE CLERK OF THE CIIICLAT OOUAT.
ST. LUC 1 E COUNTY. FIARIDA:
This is mT derLratioo d Domkils and t~ti:ensbip iD the State d Florida that i am mica this daT bs aooordanos. sad is
eontormitT witD Sedioa 222.17. Florida Btatutes. .
I was i~ a legal resided d ~"~ lc n ~.r ' or . ' ~i c h i - : r~. n_ sad I
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~ r>221 ~~. '='. "anitou Trail go~~.I~ne~~~domieileto
lOt+~•st •ad Herber)
snd am and have been s bona Sde resided dtbs State dl!7orida siooe ~LL;-• us t ~„~ 1 ~ ~ ~~ fins d
!'.uc,ust 19 £30 _andlsesideat lg2? .".Elkhart Terrace -
- (BtawR ad Haber!
fort St. Lucie ST. LUG I E Cogat~,Florida.
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and this statement is to be taken as toy deelaration d dtisenship. adwl kEal residence and domicile io the State d Florida.
IF FOR THE P1IRPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN iN SCHOOL, Pt.EASE STATE PLEASE CHECK: ~ X 1
THEIR NAMES:
1980 DEC -8 AM {{= 04
- ~.. FILEO RNC FECOROfO
SLIUCIE COUNiY.FIA.
ROGER POITRAS
- CLERK CIRCUIT COt1RT/J -
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I b'URTHF.A CERTIFY that I wIIl register at ma kxal address whey the ~~ boob reopen. sad oomph with aD ~
fiber regniremeds d a legal resident d this State.
b
I FIJRTHF~t t:ERTtF'Y that I have ao iatedioa to natm~a to mT laemer doeoieile. and I istsad to remain in
1Ck71 '
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F7ocida. pesmaaenci;
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1"• ?' ~.`. Elkhart "'er.
Sworn to sad sobseribed befoe+s me this ~-~~ da7 d "o r t =''~ , Lucic , ~' 7 o r i ~'_ a 3 "' 452 ~
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!; jtOGER POI'iRAS. CLERK OF CIRCUIT COtd2T
~ ST. LUG l E COUNTY, f LOR 1 OA
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