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HomeMy WebLinkAbout2822. ~~C~?'.c~~`C'~1.EC~~I Q~~ l..~Q~11fCIf~ c~I~(.~ ~l.~I~~~:CllS~1[~ ~ ~ 5~400~g TO THE CLERK OF THE CDiCUIT COURT. ST. LUG 1 E ~pv~y, F-I,pRID~; ' - This is m~ declaration oi Domicle and Citizenship in tbe Stat,e of Florida that I am filing this da~ in aaordan~e. and ~o conformit~ a~tb Sectioa 222.17. Florida Statutes. ~ . I R-as lormerlc a Iegal resident ot ~/~ELr4il/ _~/'~J~/ V a,nd I I(~'a~) tSe+t~l resided at ~7 C~/-GQ~iQ,/~c/G~O.O ~iP Ho~ever.I bave cbangrd ~ domic7e to (S•.reet and Naanber) • End am and have been a bona fide res;dent of tbe State oi Florida since ~- da~ o[ ,/~i~/9/L _ 29 7~ and I re9de at ~~ .~i ~ ~7i~~"EiY~oit/ /~ /G` (St~eet sad Number) ~..PT ,,,a`'`~T. ,~ir,~~i~' ST. LUG 1 E ~~ti, ~ori~ tc~~ - and thii statement is to be talcen as my declaration of eitizenship. artual legal resideace and domic~e in tbe State ot Florida. ~ I F FOR THE PURPOSE -OF ENROC~ tNG CHIIOREN IN SCHOOL~ PCE/lSE STATE THEtR N/INES: r ~~~~ I F FOR HOHESTEAD~ PURPOSES~ -- PLEASE CHEtK: ~ 1~8! J;iN I 6 A!i I!~ 1$ ~ILEC tAC Ff''Oi+•.IFP ST.LUCIf COUN(Y.fIA. R06ER POlTR.SS CLERK C~f.CC;: CGU~;/J F-~r~..~. ~. :~' ~~f---- 514U08 I FITRTT~R CERT'g'Y that I wHl register at m~ local address ~vhen the registration books reopen, and oompl~ vvitb aD o:her requirements oi s legal rtsident oi this State. I FUR77~:R CERTIFY thst I have no inteation to retorn to m~ former domie~~. and I intend ~ to remain in ; - -y.~' % ,~ ~ - 4 .~ i ,. ` . yT * L U C f E Count~. 16t~) . ~'lo:-i3a, permanenii~. - :, 4i.C~ ~NTY ~ ,. cif~Ur vJ~~ ~~c~, a~: M> ;~o v' ' : ~ ~r,,~`:,~(~_ J.~..Q`e~ LC~F CCUNiY . F ~~ S a orn to and snbsrn'bcd betore me tbis ~~ da~ od ~ ~~~,. ~.- / 98/ v ~ - ROGER P+01 TRAS, CLERK OF' C lRCUI T C0~2T ST. LUG 1 E COUNTY, fLOR tOA • . ,_ 8Y: - - ~~ _ ePUTY ~E~K / ,' / /' - ' ~~ -S~ G~i~.Ef.yOO/Y /~t~G~ ~ . (~a~) ~,_ /'" v~'T ~: Ls~G/E ~'.~A . IAe~as1. ~- ~ -~~c ~' O/e n~ W h i 7'e ~ . - . - 8~346 ~~E281? . . . • +• . ..~ . -~ ~ ;~ ~