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HomeMy WebLinkAbout1452 1 r' e-~ Q ~ ° ' ~ •1' " .y ` - • t / ~~~~~~~~~a~~a ~e . ~ ~ ~ f . ' ~ • ~ i ~ TO Tlih; CI,F:,RK 0[~ Tl1F CIRCUIT COURT. a3o~Q~r~ ~ ` ST. i. UC I E C~UNTY, ~ LOnInA: . . ~ ~ ~ This (s my declnration o[ nomic:lc and Ci[izenship in tho Stato ot i~'loridn thrt I e~m Cling this day in accordanco. ai~d in . ~ tontormity with Section 222.17, Florida Stntutes. , ' ~ - I wAS torme~l n lcgal.resident of ~~?r~~~U ~c~ and I . • c ~r) is~.e~) ~ resided at ~ ~m ~ 1 L`~ ~ , Howaver. I hAVC changed my domic°.!: to ' ~ (Slreet ~nd umber) . ~ . . ~ ~ and nm uad have bcen a bdna fide resident ot ihe Stato oi Floride since ~i1~v -`1~ 1`-~ dny ot - ...19~/ ~1 ~ and I reside s~t ~aL~ ~.~C ~ l.J ~t . ~ - , • (Stroe ar.d Numbcr) . - • - ~ ST. - LUC ! E - County. Florida, . - - (cit~) • and this statement is ~o bc taken as my declxration oi citizenship. netuai legal residence nnd domicile in the Stxte of F'loridn. ~ ~ - - - ~ I F FOR THE PURPOSE OF EHROLL tNG. . I F FOR HOb1ESTEAD _P_URPOSES~ ' CHIIDREN IN SCHOOL~ PLEASE ST/1TE _PLEASE CHECK: - ~ 1'NE t R tdA~S; S: . ~ - - - { _ - ~ fILEG t.?~~~ C~ _ ~ " - ~ ST.IUCi; :0 HTr FlA ~ . _ R~4i.=. ~~I~~RAS . - - CLFf~K Ct: ; J0; COURT ~ . . Prl~.'1r~, ~f~~~~~ry ~ " - _ . ~ _ yar l~1 - 2 ~a PH'l5 - ~ _ - . . - : ~ _ ~o~o~~ ~ - - ~ ~ ~ - ~ . ~ _ _ . _ _ - ~ . ~ ~ . ; I FURTjILI: CFR'I'IF]' that 1~~~ili re~istcr fl my local ~tddress when thc rcgistration hooks rcopen, and con:pl~• wi;F: all_ othcr requiremr.~~ts of a lef;al residcnt o! th+s State. . _ - . - - • • 1 FUIt9'ITI::{ CTRTJF~' i~t I i~ave t~o intcntir~n 1a rcti~rn to m~• fn:mc. domicilc, and I intcnd to remain .iii , ' __F"~" . ~~er C ~ , rJT ~ U C i E _ Counlp, _ _ . (CitY1 _ - _ ~ . Florida. ~~rc~:an~~uii,-. . . - ~ . - _ _ _ _ . _ _ • ~ _ . • - • ~ . _ . _ ~ . ~ -r - ; ~ - • ~ L ~ : u # : ~j ~_f , ~s.~ ~~~1 ~ _ " - / 1 . . , - ::;`='4 : - 'j.' ~ t 4-.l'i~~~?wT``~ ~ t;11 r.,, -G~•, _ ~ f a~ ~ , . - . - . . ~ 3 ' ~ ~.a' ' ~ ~~o=~ ~i~ck~..~ - ~ - . . i - ~i '1~- 5~~~ ~ ' - . ~ _ ~ ifj 2'y fysz?~r4~`.- o'~ ~ ~ . - (TvSf~t_ ~ . ~ F~(. f ~ ~ . - , _ ' rR~~~~~~ ' • ' - _ ~ _~ie{ ~~r`~~bs~~------- - it~~1,i- ~~~`~~?'1`?~ (.~~tlnF:) . - S~i~ii. t~i~~~ ,r~ 'hc•tl,bt•lvre n~t: 1 h:y d:~y o~ - ~ - J - _ l~- r_. . _ - ~ ` - - ~ ~ - . - _ - A.13. l~l_ 1 . _ R(~G~=;i_f'n!'_i:/~S,__CLf_(:i~__O_r__(: i(2: U-t ~--CUI.k:T ST. LU:![= C0:11~l~1', `F :C!?it)~'~ - - ~ " ~ . . ~ ~ , ~ ' _ ~ ~1' . C C!~~-G - ~ ~ ~ _ ~ ~~C t'` T Y L i~ i:'--. ~ . _ _ ~ - ~ - ~ ~oox2~39 ~~~~.4~9 ~ . _ - . ; - _ Z . . /~G(? I ~r: n: 7f ~ . - F ~ ~ c , ~ - ~ ~