HomeMy WebLinkAbout1799Ie~ ~ 3
Dectarotion o~t ~'~ rond' ' ' '
C~hzenship
TO T88 3fATH AND QOUNTY TAZ AR88~80R,
3S. IACIZ QOUNTY, p~ABIDA:
This is ml- declaration o! Domicile ,and (Ilti:enship in the State of Plarida that I am !!tint this day in
accordance, snd in conlormity with Chapter 222, 3ectioa 222.17, Florida Statntea.
1 was larmerlY a legal resident of-- ~~ -------- ~ IND~N~.__--
ccxa) (stag)
and I resided at_---~OMt e~-2----------------------...__---------------------- ------- However, I have changed aa~+ domicile
tStrNt std Nut~b~)
t°.~d am sad hove been ~a hona ids resident of the 4k-ate of- Florlcia sfn~x ..]''ebruery- 7t ~ ___-- ~y °!
18 dl, and I reside at__~7~_~-~$~ SL • ~-- ------------------__--
tstrNt and Nnmbr)
__ F~T_~_Pi4F24__ _. __... S~.SeuO~~e`~~____- ~_Counq-, Florida,
(Cis) -
and this atatemeat is to be taken as my declaration b! citisenahip, actual legal residence and domicile in
the State o! Florida.
t ~ domieM rtamo~sl ~ t~a~m b to naw dwnie~. p arbor ~., o~r~tinpni~Ls~t a~ antploys~at at
gntering the rollowing siz ahildrea in.publia school.
1- David Louis ~ Oxley
2- Randall Ray Oxley
3- Patricia Ireae OoLy
4- Linda Jean Oxley
5- Fred Clinton Oxley
6- Richard geith Oxley
~~~~
Fll_EC AyD RECORDED
I~ ~ _ ---- --~n'~K
i°61 FEB 10 pr1 9: 08
ROGER POITRAS. CLERK "`7/
ST. Ll1Ut: OpuNr~ F4vRidi~
,,, .,14 :.,.
,j~.-~-
H
~~~'.I „1~,1
r~,1111 ~'
~ - ,7
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen,
and comply with all other requirements o! a legal resident o! this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
Fort Pierae _ St. Lucie ~ty~ p7orlda,
m--------------------- --------------------.
permanently. g~
( aawIif ) -------------- -
James art Oxley
Sworn to and subecrib~~~ ~a._10 day of
,. -,
•; - , . '-
Commission ezpird
(To b. e~ceenttd in dt~lkaa -aua orisinai Ned with Uurt tYnntt Court, std an~lieaa wits Taz Asswwr)
Bowen 8npD1~ Co., Plant Ctt7, 17~.
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