HomeMy WebLinkAbout11621
ST. LUCIF COUNTY. FL
Declorotion of Domicile and 1
TO THE STATE AND COUNTY TAB A.gSBi380R.
At .I u„n s,,A CSOtJN'!'Y, FLORIDA:
This is my decLration of Domicile and Citisenship in the State
accordance, and in conformity with Chapter 222, Section 222.1?. Fly
I was formerly a legal resident of_--------------~ (ah 4rf,-----
_.._;
(SCrsaL stud N~nbar)
to and am and bare ~"`'n a boas llde resident of the 3tste of Flog
- ,3°~
-----------]LllT4h____---_-- ----- ~----, and I roside at---,113---a
((xb)
and this statement is to be taken as my declaration of citisenahip.
the State of Florida. - " ° ~" "'
(Invert bars aW partl~t fae4. such as sale a~ propart7 or butler
fors~r domicils, ramo~al oT lamib to nave domfefle. pnnhasa a~ home
I F'~ 1I;TII-EII CERTIFY that I will register at my loaf add
~.+~} rmm~ly with all other Fibyiii~~:isaiais vi : ;c~=1 i-asea~wat 3: thfq
I FURTHER CERTIFY that I liavs no inteatf~al to rstura to ~
„~?tLp~ ~TO~s
.c' ,
r,., .~t~.. ,,. .> - Do~iQ
.- ~ .~l / ~ ~~ . , • ~.- ~,~t 13,1.~s1
~d ,..
. (T. b. meoai is dt~lits&~ ts~i eelgiael liti wlsii stet Q.(rtsls
w.~.., e.w~ oa. ths.e cw. n..