Loading...
HomeMy WebLinkAbout0929 • • ~ t ~ ~ ~ / Q~:cl~~~fi~~~ af ~a~~~c~~~; ~~~~~~r~~~E~;~ . ' ~sBSz ~I~O'I'Itl: S"IA"l l: nNl)('OUN"CY TA~ ASSt:SSO1:, S'C. LUCI-E- - ~~OUN~I'. FLUhII)A: Thi. is my dretaralion of l)c~mirilc a~~~l Citizrnship in thc Statc uf l~lc~iida that 1 am (31in~ th~s ciay in ac;rur~lan~e, an~l in conl~c+rn~ity ~vilh Srclirni 2~~.17, C'lurida Statutrs. , 1 w,~s fonn~•rly ~c~al rr~iclrnt of Lu. a~~! , L!L~-~~ a~~ and 1 (c•~~Y ) (saic~ r~.idrd .~t _-~~y--r?~ YNr rr1o!?t_ f1~` How~ver, 1 havc chan~rJ my domicilc to ~ (Strrrt and Numbcr) { .inJ an~ and havc br. n a bona li~ic fCSI(~l`ilI of tl~c Statc of rlorida sincc d~Y ~f ~ ~ ~ and 1 m•idc at _~2_-. _L!9t12.__ P~---------- J2~u~~~ - _ , 19 2S_, ' e~or - ~ (Strert ~nJ NumMr) ~ St . Lucie _ County, Florida, ' /~Q!41 ~T ~KS~~_- - - 3 ) ;,n~l this stat~mcnt i. to be. icikrn as my dcclaration of citizcnship, actua! Ic~al residcnc~ a~~d domicile in thr Statc ~ uf t~lc~ricla. ~ t (Sn,c•i here au~• prrtiuc~d laclc. euch ac c.de c~t praperty ~K husinr~s. ur rrlinyuishmrnt of employnent at tormer ~ dun~icitc, rrmoval of tantily tu n~•~+• di~miril~. ~~urch~sr uf humr. rtc.) ~ .,T. , . - ~ ~ . HOI~6~STtiAD E.~1~SP'I'IO': : ~ : L'': ~:.:.T,~~ i.l[1L7R~?: Iid ~~HO(1L. ~ ; If e~~tering chil~iren in school, ; , please li.st ~heir naices: ~,q~~~ - - : l"i~ ~v~ JA~nFS _ _ ` ftLED Ah~ P.ECOROED ST. LU~~E C~tINTY FtA. ~ ROGEY =L~TRAS CLERK ~;RGWT COURT j, P.ECOR~ YF~'=tf0 , . ' ~AM ~ ~ I 32 ~'75 ~ ~ [ ~ 298852 ~ ~ ~ ~ ~ 1 FURT~FIER Gf:R; I{~l' th:tt I~vil) rc;,ictir at m~~ local address ~vLcn thc rccistration boaks r~op~n, and con~rl~~ with all othcr m~~!~irrtnct~ts ot~ a lc~al residcnt of' this Statc. ; E ~ 1 I~UR7'III;R ('I:1ZT1~=Y that 1 ha~~e no ii~tention to mturn to m~' fonner doi~ticil~~, and 1 int~n~ to rrmain in ~ . UCI~ ~ Co:,nty, ~ -~D/I~ .ST._L_uc~~---- ll•r!]1i111CIltl (c~i~~•) ~Ufll~.l, ~ % _ ~ . ~ ~ i y~ _ 7 / _ _ _ ~ i`:~TL1R~ ~ . . , ~ - - - ~ S -e ° - ,~~r ~ - - ••,~~~.':~..;,C' ' SIG~JAiUR~; ~ . ,.;G.-- ~ ~ ~ ` ~ ~ ; , ; r~ • ~ _ ; f ~ r : ~ ~ . ~'Sworn ~~~tt d~sti~~:fitf~d l~cfc~n m~~ tl~is clay of _ A ~i' • •"Q.~r.•- ~ ' c ` A.U. 19 ---7J~ g~ ~'Am~~o: pR ~ - £ - ii inb ~ rE'.s; ~ ~ ~ .~..T~ ~ ~it •~Pd ~CLr ~'K C P.CU7T CnURT ~.~.5>. Lu .c Fl or~~;a .n•,se~?~lN~a~-!~ gy ePu~S- Clerl, . . i ; tiz.- (T~~ ha rxrcu in Juplir:~~~• :~nJ ~~~i~:i~r,l IJcJ ~ti•i~h l'Irrk ('irc~~i~ Courl. ~nd d~~plw-alc wilh l~x l1~~'~s~u) ~ ° k 235 928 BOOr, PAGE ~ = ~ - ~ ~ ~ _ .,~.t