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HomeMy WebLinkAbout1353 i ~ ~~~~~~r~~~~~~a ~E~~~c~b~~~~i~:~ ~E~~ ~ , ~ - . ' - 3i~'~~~ b ; TO T1iE CLl;itK Ul~' THF: CIRCUIT COURT. t UCI ' ^ ST. l. E COUNTY. FLOItIDA: . . . This ts my declnrAtton ot non~icile •nd C•itizenship in lhe State ot Floride that I am C~lin~ this dnp in ~ce~rdanco. and in , coniormily with Section 222.17~ FloridR Ststutes. ' ' - I w~s tormcrl t+lcgal resident o[ j'~ D~~ g~~ 4:'~`"`~'r~ and 1 . p - eG~r) t~.ea) rrsided a~ ~ ~^!S T1Z /1P A~ ,~{owever. I have changed my domicile to (SlreCt and Nuraber) . - • ' • • . and am and have bcen a bona fidc resident of the StatQ of Florid~ since - day ot . _ , l9 ~ and I reside rt _ ~ . - . IStnaet and tlunaberf - ' _ ' ST.. L.UG I E _Ccjunty. Florida, . (Citr) . . ' ~nd this statement is to be taken t~s my declaration oi citizenship~ actuAl legal residence nnd domicile in the State of F'lorida. I F FOR TNE RURPOSE OF ENROLL (~1G - I F _~"OR HOMES7EA0 pURPOSES9 - ; ~ CNILOREN IN SCHOOL~ PLEASE S7ATE PLEASE CNECh: ~ ~ THEIR- t~AMES: ' . ~ . ~ ~ ~ ~ . . - ' I AM Cl1RRE-NT:. Y .SERV I NG ~ ~ . MITi1 THE U. S. ARMED _ _ . _ _ ~ SERVICES~~HAVE~PURCHASE~ ~ • - PROPERTY IN THIS COUNTY - - ~ ~ - • ~ AND HILL-8E kIVING HERE € - - PERMANENTLY UPON H~f tiET I REMENT ~ _ - ~ - ~ ~ ~ . FRON MIIITARY SERVlCE. ' . ~ ~ - - • - - - - _ ~ ~ I T'Uk1'lIElt CrRTIFY that I~ti•ill register al m~• lc~ca) address vrhen ihe re~,~istralion books reopen, and compl~• .~ith Qil ~ othc•r requirements of a lc~;al residcnt of tl~is State. - - - ~ - F = - " i E I FURTI)E;t C1:RTIF1' that I havc no intcnlion to return to my formcr domicile, and I intend to remain in } _ - . . ~ - ~ T . - L U C I E Cc,unty, ~ _ (.^.ity) . - ~ . t _ Flo: ida, pcrmanc•r~i; . ~ - - - . , y~ tzEC0R0E0 ' - SjLI C~: ~;i~iTRAS`A ~ , - _ ~ , _ ROG ~;~~~~,;Jt ~ COURj _ - : CIENK tEi~ , ~ ~ - , qG f_.~1R~=• ~ c • - / _ - ~ 54~'~5 ~ ~ CG~i ~-//~~Ilf ~ _ . - SCcf~a~ E _ ,MA~13 ~3 . . . - ~ - 3~`?:~~fi ~ ' ~ " ~ i - _ - _ ~ - : : ' . ~ _ ~ ~ ~ ~ 5Z P~~ ^ - . ; ~Namc} ~ ~ - _ ~ - ~.~1_~Yf~-~ ' ~ ~ ~ ~ Z ~ ~ - - (AdJress) ' - 5~~: orn ~ nr~l s!iLc.ctiF~rd 1,~•tc>> c r~~c il~is d~}• of - ~ t ~G-~ /ti.l). ]',1 - - . f ~ titilii7tit(~, ' _ -ROGl:R_{'OI_Ti:t:S,__C~ F;RI:_QF_(=-IF:CUI~t~ CUt~:T _ . . - - - - - - - ; ~ ~ ~ f• ` - ~ ~ c ~ `~~f~ • ~ % i ST.- ~_tl~ l E: C.~}il~~liYf _FL.C, ~[?t? - - :~a~~~~°- '•',.;o~ _ r : , d ~ -J ~ t f ~ ~ . ~ ~ ~ ~~_P . J . . ' F l~ 1'• ~ ~ . / - t. e`1 ) ~~f~T- . - _ ~ ' _ r~- _ ~ - . „t: w _ . r. r r ti• 'c i~ - : ~ ~ ' ; . _ I~ _ G~ / il • ~ ; ( ''••...o I - , `7 _ I,i . S ~ . ~ ~ ~ 8~~239 ~~13~2 . ~-.,~r;~lt;:~;~•t~ - - ~ - ~ ~ - - = ~:t:c? ~ .,T„~ •r~ ~ - ~ - , _ - - - _ _ - " t_ _ . - - _ _ - - , - - t , - ~ - ~