HomeMy WebLinkAbout0758 D~cl~~~~~tio~ of ~on~i~:~~~ ~~ci ~~tiz~c~~~l~
~r~ ~riii~ ~.rn-ri: n~n couh~r~~ ~l~t~x ~stii:~ssc~~t. 2f2883
St.Lucie
- - - - - - c~outi~~rv, i~ t.vKtnn:
This is my d~•rta~:~tiun c~i Uomicilr an~1 ('it?•r.enal~i~~ in U~c Stai~ c~f' I~loricla llr~t 1:~~n liling lhis clay in
:~cconla~~r~~, .Znd in cont~onnily with Scrtion ,?'_.17, I~lori~ta Stalutcs.
I w.is farm~~rly a Icgal rrsidrnt ~s~~..~-~T_i~lj~---- ------_,~1, ~c 1~~~___ and t
/ (CicY). tslatcj
residcd at ~.~-5~r
~____I'fl
~~~_L~_C~`~_.~ i_ Howrvcr, I havc changcd my domicitc to
/ ~ (Strert and Numt?rr)
and am and have bcc:n a bona Gdr re~idrnt of tl~e State. of Florida since 3~ ay of~
riOW ' ~ /
, 19~.~, ai~d 1/r~sidc at _~~~s2_.~~s~~•~ mo~7`_-L__~
(Streel and Number)
o~ 1 e~~_____ S~. Luc ie County, Florida,
~c~~r~
and this statement is to be tak~~n as my declaration of citi•r.enship, actual legal residence and domicite in the State
of Florida.
-
_
(Insert herr any pertinent facts, such as sale of proprrty or businrss, or relinquishmrnt ofemploymrnt at tarmtt -
domicile, remoral of family to ne~. dumicile, purchasr of homc, rte.)
Entering children in school:
~f~~E'~~ ~f-~ ~J~~1igr~~
~ L~ ( l~ 1 l~ r~-. =~n-~ t`I
~ ~ -
F`LEO AMQ RECO~pEO
ST. tflClE COUNTr FtA, G
R06fn p01TRAS ~
ClEltl~ CIRCUIi' COtJRT ~
~1fCOR~ YEF~FlE~~`
SEP 5 IO SO AM'~3 .
26 - ~
2883 =
~
I FURTHER CERTIrY that (~vitt rr~ister ai my local address when tiie rcgistration books rcopen, and
compl~~ with ail othcr rcquirements of a tegal residcnt of this State.
I FURTEi~R ('~kTlt_Y that_I have no_intention to return to my fonner domicile, and 1 intend to cemain in
_ _
o rT I ~ r-~-~ , _i _ SC. ~Lucie , County, .
1=lorida. permc~ncnUy. «"y)
~ ~ ~
. i ! CO 'O ~ • , (Namc)
i~j . .
g~U "?-j~ G~a1'~-=-- ~ f
?i~ e ~c l-/r~ _
.
G' ~ -
,S • ~ ~;r~`,'%~ Tj Q (AdJrcss) -
~tivt~yrbJt~;~~~r'~ •t',.~'r~ ~~cCc~rc mc [lii; _3~ d•~~• ~f
,
.`'r~` . ~v :
- :'_".~s - _ ~'~~~1_ . A. I 1 ~ _ 73 _
~ ~ ~T~n
~oc;:lt~~d~J~~ti~.s, CLEIiK CIKCUI•r cou~ T
- -
r~) ' ~.lc' vl
t
bc r>.riui~•~1 ~n du~~h, ~t. .,n~l nt~_ ne.~ !drd •,:~Ih I I~ sL ( ~~iliil (•~u~l.:tnd ~A~~~hrat.• ~vlh la~ Atsr~.~~r)
~coK 218 PACf 757
~ ~ 4 ~
-.f- ~^»a.~v~ ~~~~o- 2 - ~ _'.2"
~.~.1?"a~l~~`^~x y~~'~' ~~2f-eu~...
~a~~Yi«'S5~ - "
'tR~~~~~'Px~~~~~