HomeMy WebLinkAbout1366 ~ ~ i
De~l~ra~~~n Da~ic~~~ ai~~ C~~~Ze~~hip .
1'U Ti1G STA'Cl: A\D C'vUN1'Y 7~AX AStiI~:SSOtt, ;
s~ .~.uc~e 2~1804
CUUN'1'Y, rL4R1UA:
Tlus is my dcclaration of t)omicih. and Citizcnship in the St:~tc ot~ •~~lurida that 1 am filing this day in
,
~
accurdancc, and in conformit~~ with Scction 2'3.17, Florida Statutcs.
1 was formcrly a lrgal resid~iit of • and 1
(Citr (stat '
msidcd at ~a _ ~d' S~' S t` - .}lowever, 1 have changed my domicile to
(Street aod Nun?b.r)
and arn and have bcen a bon~ fide residcnt of the State ot l~lorida since ~ day of
now S f' ~
~C L? P/''~. , 19_~ and I/residc at 0 .~O . 3 ~ -
(Sir~et and Number)
j~ ~ f,t~~ , St. Lucie County, Florida,
° ~c~~y~ '
and this statement is to be taken as my deciaration of citizet~sl~ip, actua! legal residence and domicile in the State
of Florida. -
(Insert here anY pertinent facts, such as sale ot praperty or business, or relinyuishment of employment at former
domicde. removal ot fsmily to new domicile, purchase of home, etc.) ~
.t+U.
Entering children in school:~ Nomestead Exemption:
fILED AtiO RECOROED
tT.IUCtE COUNTY FIA. '
ROCER POITRAS ~
• CLERK CI :CUIT COURT ,
RECQRt1 v~p~Flf D
` Ju~ 3 2 49 PH'7~
2`7i80 ~
.
,
' I FURTHER CERTIFY tliat I~vil! registcr at my loc~~l address when the registration books reopen, and
comply with all othcr requirerocnts of a legal resident of this State.
` I FURTH CE}tTIFY that I havc no intcntion to return to my former domicite, and I intend to remain in ,
` ~ ` _ , St . Lucie County,
~
~ Plorida,`pctmanently. << -
k ~ ~ . ' 1 . ~
j ~~~~~~r~~.,~ ' S~ .s
, , , - . v! 7 :i;; C'~~ i"-.t?"e
,i f~'. ~ (Name) -
. ~ r~ ` p ~ r _ C _
' ~-~'~-_/-1~ I. a~ ~i~ c; c~ I~ S~--
4 .i, Y' y,_ :-A p'? a =.y
•;$wbri~,.'T~~ ~zcrihrd bcforr mc this _ ~l:ry of
;
~
.
_ 1 ~ a. n. ~ 2_ Z4__.
s ~R~CR P RI15 CLEG R'R CIRCUIT COURT
,
; - - - - - - gooK22~ ~A~ ~3&~
- ~ ~ - nx - ~ ~
. . - I1e
pi
t :
(Tu irr .~cculcJ in Juphcrtr :u~J ~~n;:in.~l t ~~rth 1't<<{ ('riuit ('~•ort. anJ du~~li<:.la ivitl~ 7aa As~rsxar)
i ~
.
;
: _ . _ a
~~"'~.~"fa _ i. ~..s-'-`^-~, . - = ~ ~
~ . : ~~.~,"'~a;.