HomeMy WebLinkAbout1131 D~~~l~~u~E~i~ c~f ~~~~~~~le ~~d Gi~iz~~~s~ii~
~rc~ •rii~. s~rn~ri: nnu c~uun~ ~rnx n~si=.ssoii, ~ 3435'~2
ST. LUCIC--- -~-~)UN"I'Y, I~LORIUA:
"Il?is i. my dcclaration of Domiciir and Citi~cnshi~~ in thc Statr of l~lorid;i that 1 am liling this d:iy in
a~cor~lancr, an~l in conformity with S~ctiuii ~',.17, Hlorida St:~tutrs.
A~~~s~v~e~ ~i
~ ivaiS ~OTiii~f~y' 3 iCF::i~ i~iii~Ciii vi ~ - ilill~ ~
- / (CilY) (Slale)
rr~idrd at ~ S,L~S- ~~-/r'`~'_/-S~-h'~- e••-!~~ . Howcvcr, 1 li:~vc chanbc~l my domicil~~ to
(Strcct anJ Numbr~y
and ani and havr bcen a bona tidc rrsidrnl of thr Statc of l~lorida sinc~ __1_1L.'~`J'_ f~ day of
~~'`~~Lt~ z-~-.L~ , 19 .ind 1 residr at -3Z~-- 5~~~/s~i ~ ~i der ,t'..~(/c.~
-
(Street and Numbrr)
'(!~'1~,,~ 1~C~ St . _ I.uCie County, Florida,
- (ci~y)
cnd tLi~ st.~trmcnt is to br t.:krn as my drrlaration of citizrnship, actual Irgal residcncc and domicilc ii~ thc Statr.
~~f Florid.i.
(lucrr: hc~. an> p~•ttin.ul f~:~ls, such as vdr ~~t bu~inrss, ur rrli~~yuishmcnt of cmploymnnl at formcc
dumicilc. ~em~.al uf f:~inily tu nr~v dum~cil., purcl~~~.• of home. clc-)
l~':~LRT:`:G CHILDr2Eii It: SCHU~L: H0~4~STEAD EXE1~t~''1'TU`i: ~
If e:ztering children in schoo] _
pleas~ l.ist their ~~~r~es:
~035~2
~ f LEO 4hL 4EC4ROE0
E~ ~ue~~ ;,ouwtr F~~_
- ROi,~R iOi~RAS
p~ CLfF'K ::Jli CC'URT
r;a:r;EJ`
~ 4 iZ Ph'7~
Q1
l
i
!
i
i
t
i
E
`t
i
a
a
~ 1 F~UIt~~l1t=.R C1•:1<7~11=Y tlZat I~viil rc~ist~r at my loral address ~t~hrn thr rcgistration books rcol~cn, and
f c:m~~>iy ~~~ith a11 other reqtiiri ntents of a 1~~.~1 r~sidrnt of this Statr.
:
~ 1 FUitTf ii:lt CF:KTIf~Y t;~:1t 1 ha~~c no intention to mturn to my fo:mcr domicile, and 1 intend to Tl'111J111 111
~ ST. LUCIE
~ .
e. - - - - - o~.nt
f=lc~rc'.a, ~~crnianrntly. (c~~•~
3 . . - ~ _ ' ~
j , , - , _ i ~I/( if/~ - - -
- - . , , ~ . ~ SIGNI~;
~[JItE
~ . . • ~ ---~1~!?oR~~'s hPiiy;!l-~ - - ~
~ . = S I%i~A7'[it~~'
~
S~.~~cicn IA anc! suiucrrhe.ti U~ tor~• mr thi: day of ~ ~ 1
~
, ' . ~Q----- ; , -
7 37 y A~~ y ~ ~
= - - - - a'?-'--- - - . u. t . / Y -
' ~z . i~ ~g c. . re ~
~ ~`K I
I:UGI:R P TRAS, C1~I:K}; CTR~UIT COURT ~,i ; j~,, `~v , Fi Urid~~ 4
gy= [~~-~c~ p;:~uty Cl erk T ~
(To Ix r~rculed in duplicrle ~~nd un~in~l (~IrJ ~~ilh l'Irr~: ('~~cuit ('~iurl, anJ JupGcalr ~~i~h 'Ia~ Asse.~sexl
800K~~~ PAGEI~3O -
S
~ . . _ . , _ . . .