HomeMy WebLinkAbout1207Declaration of Domicile and Citizenship ~
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5~.1321
TO THE CLERR OF THE CIItCU1T OOURT.
ST. Ll1C I E apv~y. ~,p~A;
ZLb b m,~ dselaration o[ Dofnie~e and Clti:em~hip ia tM State at Florida tl~aat I aan ~ tlei~ da,~ ia aaoondaaos. aad in
confocmitj witb Seetion 71'1.1T. Fjorida Statut~s.
I was i~rmer~ a kgal reddeat oi ~Si_l.n~~ ,~r j~~.~ ~ aad I
IaV1 18e~W
iesided at ~a F^~~ ~`f' . Aowenar. I haw ehae~sd m~ domieDs to
l8tr«it ~ I~Isb~ef ~
and am and have beea a bona Sde reside~ a[ t~e 3tate at F7o:ida siaoe ~ ~' dq d
~~M~ 19g~ aadIreaideat ~~6 ~ ~ `~. ~~ ~r.
18tiMt a~d Na~b~rl
`~~, ~rto ST. LUG I E ~, p~,~
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aad tbis statemeat is to be tatea as ~ deelaratioa a[ eiti:enship. actual kgai residenos and domie3le ia tb~ Statt ai Fioeida.
, " If FOR THE PURPOSE OP ENROLLING
CHII.~REN IN SCHOOI~ PLEASE STATE
THEIR NAMES:
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IP FOR HOMESTEA~ PURPOSES~
PLEASE CHECK: ~
~80 QE~ 22 PM 12 22
F0.E0 ~KC F.ECORQCD
ST. LUCIE COINIT Y. F A.
ROCER POITRA~
CLERK CIRCWT ~OURi~
RECCRO ~'FRt~11 ^ . -_ ~ -- -
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I F[TB1~Et CEATIFY t6at I wrni ngister at aq loeal addees~ wben tbe residntion booi~s rsapea, aod eompU w~kh all
ot~r reqaireme~s d a legal reaide~ cl this State.
I F'tJRT~R CERTffR t6at I have ao iat~tion to ntnrn to m~ ioemer domia'le. aod I intend to ~em~ia ia
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t~s) . •
F7oeida. Permanead; -
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Swaen to and snb~vibed befoe+s me tbis ~` ~~daj d ~• ~P r~-~ 33 y,~
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R~R PQJ~'RA$1 C~.ERK OF G IRCUI T COC~tT _
ST. LUGIE GOUNTY, FLORIOA •
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~EPUTY I.LERK
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g~345 P~~i205
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