HomeMy WebLinkAbout0542E3~c~~t'aiE~tl c~~ l~ot't~iC~I~ ~t~C~ (:i~f~,Ct~s 1if~
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51443'7
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUC I E ~pt~y, ~-t,pRIDA; - ~
This is m~ de~cLration oi Domic~e and Gtiti:ensbip in the State oi Florids that I am filing thts da~ in aaordaooe. and ia
conformitJ ~citb Section 222.17. Florids StatW~s. ~ -
I w•as formerl~ a legal resident of ~~ L ~NG 7'd ~/ ~ ~ /~~ IPG ~.v. a „aa I
tcs~~) lstiaul
re si ded st ~ 7-3-~ ~~ u~/~ J~~t -5'T~ ~ ~= T , HoR ever. I have changed mJ domiule to
~s:~:.,~a N~~~ ~
and am aAd bs~•e beea a bona Lde resident of tbe Stat,e of Florida since -3~' ~ daJ d
~ C~ E~l R F K,... ~ io ~' S~ _ and I res;de at Lf % D 3 G f1,eiS TE ~.sc •~ ~.
ts~-.~ax~~~
~i. ;~i ~-,~~,r _ ST. LUC 1 E CountJ. FJorida,
l~tjrl
and this statement u b be takea ns my declaration of citizeaship. actual legal residence and domia'le in tbe State of Florida.
" IF FOR THE PURPOSE OP ENROCLING
CHII~REN IN SCHOOL~ PLEASE STATE
THEIR NAMESS
r-
~{'
Ii FOR HOMESTEAD-PURPOSES~~~
PlEASE CHECK2 ~
1981 J~ t~ 2 I PH 12~ 2 8
f ItCC tht ~+'CORIif 0
Si.lU~lf CCU'I1Y.fii..
~ RCGER POiTRAS
CLERK CIrCU[i CC~R'
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5~443`7
I FiJRTI~R CERT~'Y that I w~71 register at my local address whea tbe registration books reopen. and compl~ v~itb aD
o:her requiremeats oi a)egal resident of tbis State.
I F(JRTHF.R CEBTII''Y that I have ao inteation to retara to m~ fornoer domic7e. and I intend to remain in
`- ; ;7T , L U C 1 E , Covnt~.
Il~itj) .
~o; ~da. permanenr3J.
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~ x~ oro to and snbstri3cd before me t6is ~' ~ dt~ a~ ., ~~ - :J ~e~-i-~ -'~ .j ~ ~
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ROGER POI TRAS* CLERK OF G IRCUI T COfd~T , ~
ST. LUG { E COUNIY, fLOR tOA •
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tU~ ~EPUTY LIERK
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~ -gn~~347 pA~E 539