HomeMy WebLinkAbout2117 ~ . ~ ~~lurrti~n ~i ~omtrri~
STATE OF FLOR I DA 10 2 2 6 d 4•
COUNTY OF ST. LUCIB . ' ~
~'his is my Oeclaratfon Doroicile in Che State of Florida that I em filing t
day in accordenc~ and i».a~ttifoi~ati~y t~~th SECTION 222.~7~ Florfda Stetutes.
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~ ~ ~ We ) ~ ~iG .f ¦ r - - r ~..~.r~.
. ~p eese pr n~your neme c ear y
became ~a bo~a fide resfdent of ths State ~ oF Florida on ~~r,uc~~~ 19 ~'"y'
~and I reside et_„_xh~> ~ ,~,L,,,_. ~1~,4!Y ~~l~~a 1 c _
~ in the City of r~` 1• X'- LE- l= i 3~~''~L~
M~ ~ailing address ~s~ ~i ~ Sc~ , 1~ S. ~ SL t`~
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~iL ~TiL~CLGtfY :i~M ~__ress_
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My former legel res~dence ~es fn the City oF ~~/~~Q~
StBt~ of ~ y~=c,u -
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(No further stetement'.is required. However, if you wish, you may insert an
pertfnent faetg such.as sele of property or buainess or relinquishment of
employment et lormer domicile, retooval of fa~a3ly to new domicile, purchase o
home, e~c.) ~ •
I FUR2HER CERTIFY x~~.11 co~nply `?ith all requirements oF e Iegel residec~t
this State. Z underaLend there fe a ena2t for er ur er ur is a Felon
P Y P~ Y;p j Y Y
and~fs punishable by incaration in the State Department oF Correc~~ons.
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PRYNT NAME 'SIGNATURE
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PRINT NAPtE ~ SYGNATURE .
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Sworn tca a d subscribed -before me thie _S ~ ~ dey of ~C .L~~ I9 ~
DO D CIRCUIT COUItT !
B,y' - 1 ,
ep y er
RrCORDING INFORMATION
i,btary Public, State of
' 1Q2264d
r•fy cc~rmissiori bcpires: _ - . .
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lclci Fec 5. St. (.ucie Ce,unty S1. L11+:+~ .,1N i',
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