HomeMy WebLinkAbout0502Herssa •. Cnrth
St. LUCIE COUNTY. FLA.
Declorotion of Domicile and Citizenship
TO THE STeTT AND OOUAI'1`Y Te% AS88,SSOR,
$t. Lnoi• COUNTY. FtARIDe:
This is my declaration of Dom~ile and Citlsenship in the State of Florida that I am tUin~ thin day in
aa~.ordance, and in conformity with Chapter 222. Section 222.17, Florida Ststntea.
I was iornnerlry s 1e2a1 resident of_~__ =inS4_~rl~_L~__Z._~___-_-~, _IIew-_S~~ic.__~-~
~ wv i ~ R~~MI
.. ~K Tnw*:a•! -flzilaa __. uv.'f-i8~'rT', I liat'c '~ ' :i::d L'I~ ~~'~~t
i-iNi a iTi$iiiidii ~k---------- -----.`_-- __ ~. *~* ~;-~_~i-_,i.33i__~__
(StrMt asd Nnmbar)
to and am and have been a bona !We resident of the State of Florida ainoe--_._.----Z$_-_--___-----------------_dsy of
- •' La.
Ilo~esiber _ 18 44, and I reside aS-__.~ZQ-~4_-Ss--4SLh_---l~r~~~.r----Ha.raoa~.~i
-- (Strut sod NnasMr)
-`__l~ort Pierot _~ ~t_ Luai• _____~_w_____._____County, Flon'da,
_ (Cib)
and tl~ statement is to be taken as my declaration of citizenship, actual 1e2a1 residence and domicile in
the State of Florida. '
((Inoart ~ sap p.rtinoat facts, aneL as sa4 0~ yart or boaiaMS. or ralinquisLmost as omploym~nt at
formtr domieilo. romo~al as famitp to osw domie~. ~nrehs~ a~ 60~. ate.)
Appl Ding !or hotuetsad
9i3~4
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FILED QND REC RDED
li'! -
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I°~: .111: I ?_ PM 2: 28
kOGER POITRAS, CLERK
S ~. IUCIE COUNt1, FLO(IIUA
T TAT ILTLI iAY! /+L~ATTTi V 1L~~~ T will anoi~*N ~i w.v inwal •.i.iw~ ~~s~s ±l.a ss.~i~syKnw {.~nL~ w~w~.~
. S: i~iiiSrii Vi/i.~Y ___~_ ___ i _ ~.L. •..•~~rvu
aria cs~npiy WiiA ail vFDes seyiii~uaii~i vi ~ met x'~u~~ va. arise vsaw.
I FUItTHEIi CE$TIFY flat 1 have no intention io sewrn io my former domicile, and I intend to remain
;r l~or t Pi ero e ~ 8t . Ltt4~, • _Connty, Pio:3da,
permaa+aatty. (Cib) ~
Sworn to sad wbscribed befors ms tAis...~~dyr d
Janturt d D. 1l~._.~....
>ite~tar Paitrae.Olerle o_* Oirsuit e~
r~aa J, C>zr~h
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