Loading...
HomeMy WebLinkAbout2933 y~ ~~Ci~:'r.~d~~~.'.~~'1 C~'a ~~:~E~:x-? ~t~:~ ~.:t.R'.~.''-~.,-~6Z'~ci:~~ "IU't 11I•. S'f~~1't i~. ,~\1) ('t)Uh'71' 'i ~~X A~ti1.Sti~~lt. s t. L~•~ 2623~5 _ - _ . ('UUN'1'1', 1.UR11)A: 'fhiti i. iny ikclar:~li~in uf Uumi~ii.• an~i t'iti~tr.l~i~~ in th.• St:it~ c?i I~lu~~i~;:~ that 1 am lilin~~ I:iis cla~• in accc~nlancc, ,u~~t in conl~c~nnity with Srrtic+n '~'?.17, I~I~~rida Statutcs. 1 wa~ tormcrly a kg~il rosicirut oi~ __/~I t. __LQO___~~ ~C°T - - - , ---~LL/Nd/ .~nd 1 . Itc~~Yi - -s--- - (statr) r~tidrd .~c bao _/~~VF~_ ._~PO }iow~.,•cr, I have changcd n~y do~uirilc to I - ' (Strcrt and Nuuiher) ~ ~ i :~nd am and havc bccn a bona fidc rrsidcnt ol' thc Statr ~f I~lorida sii~cc dav o1" 110W ~ l~~/~US t , 19 anc! I ~rrsirl~ ~~c --o-~_~•_-~'NN_.-- r3a _~J~~_ . (Strect aed Numbcr) -~~~_/~~~~i'f_~~- . St. -LuCie-------- Cow~ty, filorida, (c~~ r) and this statcmcnt is to he taken as my dcclaration of citizcnsl~ip, actti~~l legal reside~~ce ancl domicile in thc State af F'lorida. (lnsrti hera anp prttinent faclx, suth as sale uf ptupet!)• or husin~it, ur relinyuiehment of rmploymrnt st furmer du~tticile, removal of fautil> to n~~v domicili, pucth•rsc of home, etr.) Entering children_in school; ; 57~~v~~/ yo~~~~ ~ o ~3 ~,eT ~lo~u~'~ J~}C~UFL//y~ `~IO~LL~ _ ~i~'`~~wr r? t- llO~ER l~OiT#?~ t'l.~tl( CtR~t ~ 1tECltlit~ t?E~uF~O A~ 1l 8 ~4 rl'T3 262345 I FURTHER CER7'IFY that I»~ill re_~istcr at my local address ~vhen tlic rcgistration books reopen, sn:l comply with all bthrr rcquireiz~crits of a l:.,~:1 residcnt of ttz~s State. . I FURTHI:R CERTIFY tl~at I have nc~ i:itention to r~ turn to my forn~er domicile, and 1 intend to remain in ~.~~~i~~!v ~ff~ ~°f-~ - - St . Lucie CountY~ F(orida„~ittrc~ien;~ntl)j: < <c•">~ ~ '''~~ClTli ~ ys:` C''. _ . • ~,uU~•• •.0 = - • G~~ 4 ' ~~~~~~-i ) ~ ~ ~G' ~~1 ~ (Name) : ~ a.~.} ~ ~ ~ ~ t ':F- ~X c = ; . . o: ~ _ D•~-~1._~ . ~n_~:,, - - - _ _ • ~ Q; (nad«St~ , . . ~ Sworn t4i'0 i'~iil~cr:bc~( hrfi~rt n~.: this _~l:ry of ^ ~ r~~~•. ~ ~ ~b., , _ _ n.u. _ 73 R~GEIt ~'OT7'[t~'.5; CLEItK CIRCUIT COUItT - ~Y_ ~c,~.. 0~21? ~-29~4 l~:~P~!t.~~ Cler _ ( fo b~• c~r.~i1cJ m J,+~~l~:ah• :~nJ ~~r~, u~.,l Id~ ~ rth t tc~k l~r.nit ('nort, s~~J Juph..~~r ~:ilh i:ix A~~r.r~ur) _ t _ . _ ~