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HomeMy WebLinkAbout0434 ~~r~~~~~~~~c~~~ ~~~s~~~~~ ~~E~~~~~~~~~i~ u % t ~ ~ . . ~ 1 ' y)(~ ~ ~ l,`L~~?~~~ ~ TO TN1. C[,~RK OI' TtIE; CIRCUI~' COURT. , ~ ~ . ST. I.UC I E _COUNTY~ FLORIDA: : . _ i . This is my decln~nt(on o[ llomicilc and Cil[zen~t~ip in tAo StAto o[ k'lorida that I Rm tiling this day in act~rdanc~~ And in ~ conformity with Scction 2L'`~.17, F'toridn Stntutes. ~ : , . , ~ ' ~ . } - ~ I was tormcrlti, A lcgnl r~sidcnt of ~r' c S C"~l ' and I ? • - c` }City) (St?te) . ! rr'sided ai ._.,l='~ ~ % ~ " `S'~~~ ~ ~ ~ . ]Iowaver, I have cha~~ed my domicila to . } . (Street and Numb+er) r- ~nd sm ans~ ha~ e bccn a bona fide res~~icnt ot ihc Stnic o( Florida sinc6 ~ ~ dey oi _ , ~ Gt - 19 ~ nnd I reside at ~1~'~~''' "Z ; . . . (St~c~et and Numberl ~ . ~ ~ ~ e r ~ ST , t_UG 1 E County, Florida, t~;;~~ . . And this statement is to be taken as my declacation of citizsnship, aciual legal residence and domicile in the Stxte of Flaridn. I F FQR THE PURPOSE OF ~NROI.L ItJG I f F'OR HOMESTEAU RURPOSES~ ` CFi1lDREN IN SCHOOLi PLEA.riE STATE PLEASE CNECK: ' - TFiE I~R NAMES.: - - ~ ~ ~ i17~2~.~- - = - - - . , s~.~u.t.r~Y~ ~ . - - ~ : - . ~ . cnn611ifl _ - t f ~LEV ~Ri~ !~CLVI\YbV ST.IUCiE .;Ui;HTY fLA. l~ Rtii,: i ~'i.~~'RAS ~ ~ - _ CI.EFK C;~iCi1;; GOURT ~ ~ ~ - R~~~yn vr;:;~~c: .....v.-- 4 - ` . ~ - MA~ ~ II 28 aN'75 S . . . - . . . " . . ~ ~ - . ~ 30"7~6 f - - - : ~ - - ~ _ _ - Y . _ ~ . f - - ` I FlJtt'I'IiEti CF.}tTll'~' thal. I~~: ~11 rc~~stn* at my 1c~al adrire~s when the re~istration 6oo};s reo~,~n, and conipl}• ~~~ith aU ~ athcr recs+~iretn~~n.c ot a lcE;a1 resitif•nt of lhis Stale. ' _ ~ - - X I F I~TIII;Ct CEl 'II'~' tTiat I havc no :ntcnlion to rcturn to rny formcr domicile, and I intcnd to rcmain in - ~ . ~ _ . ~ ST ~ ~ U C 1 E Countp, . i _ ~ - - {Ci.y1 . - - - I~~~orida. ~~crm:+ncr,ci;. . ~ _ - . _ _ ~ _ - - , - - : ` - ~ ~~,~.:~.~:Yti:;, _ - . ~ ~ i~ ~/I~ ~f . . _ - _ ~ ~ J ~ - rl ~ . . - . , ~ '.l ~ ~ : -i7~ ~ . . ! - 1 • " - ~ - ~ _ r~~ ~ . ` ~ f ' : ~ L: i _'.f ~ • . ^ : - /,.y-~~,~ < ~ ~ ~ ~ ~ ' U7~; y . ~i c ~ ~ ~ ~iii f. _ , .`s~.~ ~.:j ~s, •t ; ~ ` - . . _ , ~ - . - . - •~i¢ ~J ~ 3' . , • [ y; S :•~~~~1/~~~~• - ' ~ _ ' - ~ . ~ ~/t ~ tr r ~~~~~.b- ~ • a~, a ~ . . _ ~~:nn~c) ~ , . ~ " tl,1t" . . . ~ _ . - '~Ifj1;t.S~iR~ 1_ * . . ~ ~ . ` ~~11:L~fCS1~ " " ~ S.~~oi-ntnnnd •~+1~~.criF,rdir•t~:;~~cn~~ifr,~,_~~~-•=-ttaJ oi ^ ~ _ i ~ . - • - r . • . ? _ - ~ _ _ _ _ - ' ~ -f?.1). i.?--=-' i _ - r:oc~r_~~_ i~i.-i,?z:? ~,.__c~_F:r~„ c~~-_c:_it;cui ~r .cc>~;::-r - - _ ST. I_UL I(.: CQ:Jt~!-I~Y, F L_G:~ 1O/t ~ - f31' • - _ - . - _ - . . ~ - ,_T~~ - ~ _ ~~t: u't• C i. i.,i _ ~ - , L ~ _ . ' ~ BUOK PAGE - ~J~ . ` 3 _ ~,cc, i ~ ~ t . ' - ~ ~ . . . : ; ~ - - - - •t - _ _ - -