HomeMy WebLinkAbout0330~• .
•~
ST.IUCE OUNTT.
Declorotion of Doniici~e on~~itizenship
TO THE 8TATE AND COUNTY TA% ASSS88OR,
• as. ~cu oovrrrY, Fr~oxmA:
This is my decLratian. of Domicile and Cltlaenahip in the State of P7orida that I am Sling thin say in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Sbtutea.
I was formerly a legal resident of __~~~_-- __.__ __ _~---.-
.- ttavt twat.)
..a
_-~ i ~_sa,•~ ~ ~ 1.1Z - IYw~.wn~ T bw_ a 1+~~+ iia
•.ua • ae~tuw ale-------------------------~~~~--•----------•- - ...--. _,_.._: r- ~_ =- isa!1 Tt1Y t~L+~N_!__~
- (Stiwt sad Nm~)
to and sm and have been a bona sde resident of the State of Florida aince___._-_.----__-_-_______________________._day of
Detsember 19 ~ and I reside at-_ 483 IIT~ 6th St.
( sad ivnmdor)
port Pierce St • Lnaie -M_Count Florida
- ----~ - w_, ~~_ ,~_____~- y,
(cats)
and thin statement is to be taken as my declaration of dt3senship, actual legal residence and domicile in
the State of Florida.
(Insast hest an7 psrtnowt gets, web v sab~ o~fyro yort7 os bosinns. or r~linpuisbmoot of oanyloymrat at
forma aoakil~. rmo..i al :..i1, to nsw domiefls. pmr~sse of La~...le.)
gnteri~gt~s ohiltllren in pablia school.
1- Paas~ Laster
-~ - - _~ --
y~ ~ ~ii.J a..a~.rva
~ ~~-r.
:Jl~+~~
ALE AND REC D
~ _ - OOK
I°.6: ,fats' -9 AM 9:12
;~;~;t~cR p01`fRAS. ~~r~.x . ••..
yam}.'+~:~,,`,.W.
St. IUCIE COUNtY, FLOn~~?~o~ ~~ '~'V •U~~_ ~; =
J ~- ~~ 't`
- -,,rte' .:::;. ~ . '~ =
~,
/I. ...
I FURTIHER CERTIFY that I will register at my local address when the registration books re~,~en,
and comply with all other requirements of a legal resident o~i this State.
I FURTHER CERTIFY that I love no intention to retmrn to nq- farmer domidle, and I intend to remain
~ ?ort Pi trPts e a St . Lnoi a _~~,. tea.
tcs~) -
~~
Jtr)~a Laster
•' (Addrw)
• 1 .-A
$~IOlil ZO and WbNii' l'~i`1~.!
r.r~ •. ~A
i v •~ ~-~
l[y Caaamwdaa
- (r. e..oo..oor iF~
s,... o.er+s aa, r>s.t sw,
-..-dw at
~~ y~
~e
..~; .
w~ «~ a~ a~ ate. ~ ergs-,.c..~ ~ ~~
T