HomeMy WebLinkAbout1982 .
Deciara~ion of D~mici~e a~d Citizenship
"tU THG STATt; AI~U CUUN'I'Y "1'AX ASSi:SSOR, 265899
St.Lucie
CUUNTY, 1~ LORlDA: ~
Tliis is my drelaration of Domicilc :u~d C'itirrnship in thc Statc of Florida that I am filin~; this ~lay in
accordanc~, and in conformity witit Scction ?~2.17, r~orida Statutcs.
1 was fornicrly a lrbal resid~nt of _ ,~~~~'yy and 1
Q~- (city) (State)
resided at -~7 . However, I have changed my domicile to
(Sireet and Numt+er)
and am and havc bccn a bom~ fidr rrsident of thc St:::~ of Florid since day of
now ~ ~
~ ,
_ ~ , 19_ and 1 /~rc~idr at ~ z
~ (Street and Number)
~n~~~z.-~ , St. Lucie County, Florida,
(c~ir)
and this statcment is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
(lnsert here any pertinrnt facts, such as ~alr of properly or Ausinrss, or relinyuishmrnt of employment at former
domicile, remo~•al of family to new dumicile, purchase of home, etc.)
Entering children in school:
, G7~z
, ~
FILEO AND RECOROEO y'~~
ST.lUC1E COUNTY FLA. i,
j ROCER POITRAS ~
' CLERK CIRCUtT COURT
! RECOR~ V~R'=iED
~
; ~ OcT 11 I 111 AN '73 ~
~
.
;
!
` 26589~
~
~
~
I FURTHER CERTIFY that I will rcgister at my local address when the registration books reopen, and
~ comply with aU other requirements af a legal resident of this State.
~
I FURTHER CERTIFY that I have no intention to teturn to my former domicile, and I intend to remain in
~ . ,
~ ~~Z~ _ St . Lucie Count
~ , - , . Y,
Florida, permanently. <<"''~
~ . ` : ,
, . , ~ • t
:z/~~-c.---
.t : ;~J' " ~ -
2.~•. (Name)
~ - ~r ..v. = ~.~r' . ~ r _ •
~ ' • n~ • , _ . _"Z ~G ~ ll~s~c - -
{1` : (Addreu)
SwGy~~ cl• s~N'~e~~bcfor~ in~ thi, cta af
a. ~ a~~,
~ .
F~ _-~,.tt,,,,4 r-- n.u. _ 73.-
~K '
ROGER POITRAS, CLERK CIRCUTT COURT
~ - -
g - ~
_
g~219 1~81
~ _.I3y_ _ _ _ - . ~(Y1 ~(YlC f'r_.~
!llepul.y Clerk
~
(Tu hc r~rcutrJ in Ju~~li.a~c.~ud ~.r~~•u~.d Idr~l th ~'Irrl. ~'1r~uit l'ourL:md Juph.a~r wilb T~t Acxssur) -
~
'
~ ~ ~ K: :
~~~~.~:t: _ . . . . _ . _