HomeMy WebLinkAbout0770~~C~(~t'a1:tUll Q~' ~..~C?t'~lIGE~L' c~t1(~ l~t~tf;CllSllt~~
TO THE CLERK OF THE CIRCUIT COURT.
ST. Ll1G 1 E Cp~y, ~,pRIDA;
5145~i9
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This is m~ deeleration of Domica7e and Citueaship in tbe State of Florida that I am filing this da~ in accordanoe. and [n
coaformit~ ait6 Section 222.17. Florida Statutes. ~ -
I a~ns lormerlf a Iega1 resident oi _ - ~ and I
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m s~ded at ~~ ~~ ~F ~ ~~- Aoa ever. I bave ebanged zqy domie~e to
(St.rce~t and I~be~
: n d am and ha~ e been a bona fide resident oi t~e State oi F7orida sina ~ 7 da~ o~
i~J') . •
-- -- ,19 and I re9de at ~~G G(/.!5 r ~~ .
~ ~ i ~ ~'r (Streert aad N~be~ .
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_ -,. ~~~` "-{ ST. LUG I E CountT. F7orida,
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n n a this ststemeat is to be taken as my declaration of citizenship. actual legal residence and domia'le in tbe State oi F7orida.
" IF FOR TNE PURPOSE O~ ENROLIING
CHILDREN IN SCHOOL~ PLEASE STATE
THE IR N/INESt
I F' FOR HONESTEAD~ PURPOSESi
PLEASE CNECKS 1
~ 1
i931 J'-N 22 AM! !I~ 34
Fllfl' eHC ~_.Cuhi t ::
.LIV!'IE C•'_•U41't:f i i.
ROGi P, PCITR~S n
CCE:'iS C:;CL" i ~:Gl's i ~i"
,r~ - ' ~ ~7 " I----~
5145b9
' I FURTF~R CERTII~'Y that I~s1) register at m~ local address v~hen the registration books reopen. and eompl~ ~itb aD
; o:her requiremenb oi a legal resident oi this State.
~ I FURTHER CERTTF'Y that I have no inteation to retnrn to m~ former domic~e. tand I intend to remain in ,
, ,T * L u t ~ E , Count~.
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ROGER I TRAS* CL K OF G IRCUI T COCd2T
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UTY I.~ERK
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