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Home My WebLink About2487} Declaration of Domicile and Citizensnip ~~ • ~ 5156''7'?' . TO TNE CLERR OF THE CIRCUIT OOURT. ST. LUG 1 E ppu~y~ ~,p~A; T'his is m~ declaratioo ot Domldle aad Cttisenship ia tbe State o~ Florida tbat I am flins tbtr dq la aooordaoae. aad b confo~ witb Seetion 222.17.1~7orids Statutes. ' I was lormerl~ a kgal resideot aI `~~.Q~ a aad I resided at ~~~T~ .c-:~P,1 ,o l.L~i _l *-t' ~ . Howeves. I bave ~ cq~ domie~e to ~s~..~.~aN.me.~ ~ 3 / ~a ~.~a ~,-e~n. ~~ sa~ ~~;a~nc ~tee~ sw~ ~~a~ ~ da~a[ ~^ n 19~ ~ : and I reside at ~ ~ ~-•octi ~ ` ~ • ~ . ~ ~~c ~ , ST. Lt1G I E~~N~ tGRsi~ ~ Coun~.I~~orida. antl this statement is to be taken as m,~ deelaratioa d dtiunship. actual kgal residenoe and domicDe in tbe 8tate d~7wida. " If POR THE PURPOSE-OF ENROLLING CM 1 L~REN 1 N SCHOOLi PI.EASE STATE THEI NAMESS ~ -c~/ ~ ~ .~~'~~. - ~,. / IP FOR HOMESTEAO-PURPOSES~-- PLEASE CHECK: ~ ; t981 FE~3 -3 AN it~ 12 f~~ro eke F:.co~~~ra s!.~uc~f cotwrr.r;;,. ROGER POITR~S ~lERet Ci-~~jiT CfH;r~r,~ it:: '.~~~ ~~[ Cr. . .. ~i 5156'7'7 I FtJRT~R (~HTII~9f tbat I w-fli ngister at m~ local address wben the ngistntion bool~s reo~re4 aad eompl~ witb aII otlnr reqniremeats d a kgal reaideat ot tbis SWe. I FUIi I luve no intcatian to retma to lornoer domietk. and I jntend to remain ie ' _ ~~s' ~ . ~ uc ~ E - ~ (G14) . , ~ Coaat7. Flor~da. permanem~,'. ./' J ~- '/ . _~~•lai l~ ~ ~/i~i •`...~~,.•.. . ~i/ ~ Ci%j~ : ~ ~i `~~~ ' •~t:•~, G~: ` : ' v a.~ `_ °~~ ``~'.~ z r~= ~ • y~ . -, ~ ~ 4, ~ ~ ~ , ~,~ .`~. !,' ~ ~ - n ~ : .~ ~~ B:-o~'f~ beiosa me tbb ~ dy o[ "~„ ~ ~ . - ~ .: ...~ . /98/ ._ :,,, P e.n.. r ~ ~ _ /. /~ ~//~1 ~~ 1 ~~~ C~ _j~~ ~ h ~ ~ . ~!~-~ ~ ,~,,,, • R~~R PQ~RAS, C~,ERK OF G IRGUI T COt~2T ST. LUGIE COUNTY, BY: { { ,~~ r - s - "; ;~, ~-~5'~'~'~~~~~c"`"~`c~-t~ _J =i.~ ,~~ ~!s.~. ~ : i ~ fLOR10A~ • ~_ . . ~ ' -• - .., _ ~~ ~ ruT~LERK • ~ Pl~~~1 ' ' tic~c~7 ~ ~ - _ ' ' ~ - y ~ ..~ f '~ rrl'. r -~ -~ ~ ,,, -~ , ,~,.,~ : ~.i~>%.~,r~ .