HomeMy WebLinkAbout2243 Deciaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT COURT.
ST . LUC IE COUNTY. FIARIDA:
This is my decluatioa ot Domkile and Citisenahip tn t6e StaLe ot Florida that I am Ning this day in aceordanoe. and in
coniormity arith Sectiou 222.1T. Florida Statutes.
1 waa formerly a legal resident of Frontenac ~ Mi ~~n~~ i and I
lCit~l Istat~)
resided at 16 Devondale Lane . How~ever. I hsve chaaged m,y domicile to
l8tn~t aed Nnmbr)
a~d am aad have been a bona fide nsident of the Stata oi Fbrida since tc~mh _ r 1~ ~ 14 7 d day of
.19 .andIresideat 3084 Santa n~ta S~eet _
(8ttwt and Numba)
Port St . Luc ie St . Lucie County. Florida.
1(~1
and this statement w to be taken aa my declaration of citiaenship. actwl legat residenoe and domieile in the 8tste of Florid:.
FtLED ahD AECOROED
ST.lUC1E COUMtY FIA.
RBGE~ FOITRAS ~
CLERR ~ tFiCU1T CQURT
PEC~RC V. R~r"If~ ,
M~a 1~ 3 i6 PH'75 ~
3U4_3~5
,
,
_
f
4 '
f!
i[
l
~
F
E
~ I FURTHEB CERTIFY ttut I will regiater at my local address when the ngistntion books rcopen. and comply with all ~
other requirements of a legal resident of this State. ~
~
i
~ I FUATHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in i
~ POrt St_ Lucie . St. Lucie County. ~
~ ICrt~) .
Florida, permanently. ~
s
~ ~
~
~ ~
~ 1
~ • ~
~
~
r
y ~"`1 e
~ ~ ~ .
. ~
. .
i son ~N ~ g
;s
Mary . Wilso~
- SM+otn~'~n~d~abscrl~d before me thia day of
;,.r , , ~ • ~ ~ 3084 Santa Anita Lane
° •''r •~~h A.D.i9 75 Port St. Lucie, FL 33452
~ ; - . ~
, ~
_ ~ • _
_ ~ r~ L . ~ -
~ ~
: i ~ Pqblie 8tate d Florida at
i? w; • _
; •~~~s••~'~, P. . ' .
w; ~ .
M~`.~A~.~xp~res 4/ 7/7 8 '
r:~
, . ' ~
~t , T
ITo be e:eeuted in duplieate aad origina! 51ed ~rit6 Clerk Cinvit Conrt. and duptiute with Tu A~sa~or)
r:~
BOOK ~3~ PAGE 2241 AGO Form 71-71 -
<
~'f' _ : - - - - ~ - - - - -
a _ - '>`i
~ ~,_.s~~K _..W v _ : ~ _ e'~'.