HomeMy WebLinkAbout0644 1~~,?~ii~i~C~i. i.~~n Q1 ~ i?c~,+t?'~.'~i G..~~ V~ ~•[G.~:.i tw~ L.`,i~
,~~~i~i sTn~rt: n~ u cOU~TY ~cnx nssi ss~iz, 26'70£ 4
St.Lucie
- CUUh7'Y, I~ L.UIt1UA:
'Tl~is is nty clccl:iratiun of Uomicii~ anJ Citiz~n,hij~ in ih~ Stat~ of f~lc~rida lhal I an~ filin~; thi~ ~lay in
r~~nianc~, and in conforrnit~~ ~~•ith Scrtion ~22.17, f~lori~ta Statulcs. . ~
.
1 was formcrly a l~gal r~sidcnt of ~Cc-~.~o,Q_ ~ c-at.. and I
(c~~r) (s .
It'~1~~Cd at _1~L ~~/nB~ ~~5da~- . Howcvcr, I jtav~ ~iiali~;:;i; ~:'j' G^!??!!'!~c'. tP
(Stre~t and Numbrr)
a~;d ant and havc bccn a Uona fidc rosidcnt of thc Statc of I~Ioricls sincc _7~ ciay vi
now ~ ~
_ ~~~lCe-r~ , 19_~~ a~id 1 ~resicie st _ ~ - -
^ (Street and Numbcr)
^ ~ ` , St. I.ucie County, Florida,
(c~Y) .
alict this staten~ent is to be taken as my declaration of citi•r.rnship, actual legal residence and domicile in the State
of }~lorida. - ~
(Inurl Aere aoy pcrtinent facts, such as salr of praperty or business, or rclinquishmtnt of employment at fo~mer
domi~Je, trmoval ui f~mily to ne~e domiciie, purch•rse ot home, rtc.)
Entering children in school:
~
- ~~e~.~'-~ L~~ tJ~' ~
~Ze~cJ~c~ ~ ;
~
. t
. a~.e ~~tJ.,e~..~ ~ 26'7(}~i~
Ftt€0 AAtU RE~c R~~A:
ST. LUC~L vOUM~r
ao~~ n cq~TRe6 ;
ti«=~ ~ ~U~i COUqT`f
,Y ;
RECi:R~ YEF~=1f'D,r,~.,~,~
. +
~ Oc~ ~6 3 PN ,~3 ~
~ ~
;
~ ~ ~
~ l FURTHER CERTIFY that I will register at my local addmss when the registration books reopen, and
cc~mply ~vith al! other requirements of a Icral resident of this State.
= I FURTHER C- TIFY that I hav~ no intention to return to my former domiciie, and I intend to remain in ~
~ ~ .
~l S* . Lucie , County, ~
i ~ . , ~
` f~lorida, pcrmanently. <c~~r) ~
s s F'ly Genovese Wu ~
~ ~ -~o ~l~C/ } ~
s / 4
/ /
} amt) /j ~Y~.~'~t . i
€ - le~ ~ L,~`~ :~r ~P~f E ~ t
(AdJress~
7 ~
S~ti-orn ta art~•sai~suibcd bcforc me this°?~_° day ot ' _
; ri,' , a. n. i 7
3. . ~
~ .
~
; ~t~b,~~t `PO~T~t~3_, CLERK CIRCUIT COURT • ,
f ' ; t,- .~1. - ? '1 ^ ' _ ` j
~ 1~ ~ dOG1l 6`t~ ~
.ST~ Y- - - - - - - - rAGE
3 ~`L~~C~,<<~.~ t Deputy ~I.erk ~
••-..,,,?~~:t~: . , .
(To be exrculeJ in du~dicat. anJ uri~t~n.d Idrd ~~~Ih l'Ir~~ ('irauil C~,uri. •rnJ Jupli.alr ~citb I:~i Aeussor) ~
- ~
4
_ s
_ _ ~ _ - - . ~ ~
ir _.n