HomeMy WebLinkAbout0550Deciaration of Domicile and Citizenship
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TO T$E CI.ERR OF THE CIIiCU1T OOURT.
ST. LUG 1 E apv~y, ~,p~A;
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This is na~ dselaratioo a~ Domie~s and GYtisenship ia tbe Stats ot Floriida that I am Slina this da,~ ia a~ooe+daooe. and is
aoafo~mit~ wit6 Seetion 822.17, Flo~cida Statntes.
I was former~ a kgal resident d C'~ /C~ /~` ~~~-° ~~ aod I
f~Ul 18tat~
reaided st ~ ~,~c~~~ ~ l//~ e ~!` ~ l~ ~ However. I bsve ehanaed ~ domkne b
18teNt ~sd N~D~
and am and 6ave boen a boaa 5de resident ct t6e Swe ai Florida siaoe ~ v dq d
~S~ ~ ~9~ , ina l re~de at ~~ v s f ~-v ~' j~L¢r~...c T.,e~,J1 ~,~v
lBhMl`aed Nambrl
,/~ ,~ ~" ~i ~~-~ ST. LUG i E ~. ~,~~
tab~
aad this s4teme~ is to be taken as m~ dee4ration d dtiunship. adual 1ega1 rsiidenoe and domia'1e ia tbe State ai I~7oeids.
" IP fOR THE PURPOSE OF ENROLLING
CHIIDREN IN SCHOOL~ P~EASE STATE
THEIR NAMES:
Ii FOR HOMESTEAO PURPOSES~
r~EASE CHECKS ~
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~°~0 C..:. ~ 8 AN i~. 35
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s ROGER~POITR ~ A.
CL£RK CtRCWT Ci~Uk f ~
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I F[T~iT~ C~'Y tbat I wID reaister at m~ local adde~ wbea tbe r~ation boot~ reopen, aad eo~ wk~ ali
atber requiremeat~ d a kgal reside~ d tL~s State.
I F~JRT~A CERTIF'Y tbat I ha~+e ao ~nteation to retmn to fae~m~er domkne. aod I Intead to nemaia ia
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~7orids, permaoend,'.
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swaen to.na sab.eribea bet«+s me tl~i. /~ da~ d !'e ~" ~C t-t~c~ . W 3~ ~~
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R~R F~J~RASt CLERK OF G IRCUI T COt~2~j~~~~.~ ~_ ~_1~
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ST. LUGIE COUNTY, FLORIOA -
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