HomeMy WebLinkAbout1354 I~~~~~rG~a~~~ ~r ~~~t~Ge9~ ~n~ ~i~i~~~shi~ ~
~ ~
,
.
TO Tl1k: CL~ItK Ol~' THE CIRCUIT COUltT. 3~~~6
ST. LUC 1 E CpU~y~ FLpRIDA: .
This b my dccl~ntion ot Domicile and Citizcnship ia the State ot Florids that 1 am filiag this dsy ia aceord~nce. and in .
confornuty with Section 222.17~ Florida Statutes. ' '
UJ ,S O A/ 8/~ ~/~~i A/~ and I
I was tormcrl a lcgal ccsident of
tCittl lStat.)
resided at ~ r^l L"~~ T N ~ a~ . However. I havc chsnged aa~ domicilc to
lStree~ wd NumDed •
and am and have beea a bona Gdc residenl ot the Stato ot Florida since day ot
_ 19_ - and I reside ~t
(Sire~t ~sd Number)
' ' ' ST.. LUG I E CouAtr. Florida,
ta~,~
and this stalement is to be taken as my declaration oi citiunship. actual legal residence and dotnicile in the Stat~ of Floride.
IF POR THE PURPOSE OF ENROLLING IF POR HONESTEAD PURPOSES~
CNILOREN IN SCNOOI~ PLEASE STATE P~EASE CHECK: ~
TNEIR NAHESt ~
,
I AM CURRE-NTLY SERVIN6
VITH THE U, S. ARMED
SERYICES~ HAVE PURCHASED
• PROPERTY IN THIS COUNTY
~ ANC VIIL 8E t1VING HERE
. PERMANENTLY UPON MV RETIREMENT
' fROM ~I~ITARY SERNICE,
.
i
I FUR1'IIER CF.RTIFY that I will registcr at my local address whcn Lhe registtalion boo'?-.s reopcn, and compl~ ~vith ail
u!hc•r rcquirements o[ a Icgal residcnt ot tt~is State. - -
i
I FURTIl~;t CI:RTIf'Y th2t I I~avc no intrntion to rcturn to mY farmer domicile, and 1 intend to rrmain in
~ ' _ ST . l. U C I E Cc.unty.
~ (Citg) .
~
' }'lorida~ ieermanenii~ . p
p f1~E~ ~UKj~ fl~• ` .
~ gS.1.~~~~ ~.;tiTNl~S
ROG^.:." C4uRt
CIEA vF~i~.1E~ •
, ac~.~?.c ~~c _ G~i ~"l/ia~ ~ _ SClf~o/b~
~C Q~ J C ~
, Mp~ 13 2 - -
~ 3~s ~ "
f • ~
~
~ ~ _s~ _
~ (Name),~ / ~
~ .--~Qn~ ~X,~, ~ ~~-S ~2 2 i
. ~naarcs~~
~ c;~:arn • nr se~b~.ctii.rd h~•fotc tnc t!~is d:ty ot
~
~ - A.1).1'.~_r~.~~
~ , ~ ~ : r . ~::v::.ut:,,,
~ r.~c,~.ri_~~iTf:~.=',--CLERt,__~f circui~r Cot~:T
a _ . ' _ _ . . . ; ` ~ .••f~~~~~~~. .
~ : ~ o~~, .y ~ :
~ ST. ~_UG I E: COU~~11Y~ FLC~ .f?!~ ~ ~ d 14J~, r- .
J
~ V ~ • d i
'g r) _ i ~ . ~ , . : . T I~.; . .
~ I)~~• / ~ ~ 't~,}~•
~ ~ % - ~ ~ i~r.,~.•a?r?: ~ -
~ _ ~ ('ll3T 1' C I< 1: ~:"74'~j~~~~T .
/ uR ~r ~ ~
~ ` ~ .
~ . 1j • ~ ~
?'V ~1~~~1•~~~~'
~ a~?.~9 ~i35~2 ~ s , ;.z~•.
'''r~•'!lt~,•st.,1•:~
K . ~
~ - . i .,~:u ?i ' .
~ •
~ ~ ~ '
` ~~.~~s,v s ~a k r ` S-' ;rz ~ -
w
J~~-'~~~ ;~~`~~~,N ~ ~ ~
. ~,~__~~a-~,^,.+-~ . . ae_