HomeMy WebLinkAbout0782 IRr~cR~r~~ia~n ~fi I~~r~~cit~~ aro~i ~~~ix~nsh~p
~ ~ ~ .
, .
. 313'74'7
TO TiIE CL~ItK OF TIiE CIRCUIT COURT.
ST. I.UC I E (~pUNTY. FI.ORIDA: ~ ~ .
This is my dccl~ratioo ot Domlcile and Citizonship im the Stato ot I~'forida that I am.CJina thJa day ~n aceordaneo. ~nd jn
eontermity with SecUon 2~.1?. Ftortda Statute~s. ' ~
. w( ,
l was tormrr~ a lcgal reaidcnt o! -1, ~ FR ~~~Z< ~ ~ n C~ e~,~T ipd I
f ca~r~ ts~.~)
resided ~?t - i~( R T+5 f] JPn t1 ~;owevor. i h~ve chsnged my domicile to
l~trsat ~ad Numpui . •
~ ~r
and am ~nd Aave bcen a bona fide restdent ot the Sti?to ot Fbrida since ~ daY o!
(Y10.~ J9.,.~.i . and I restdo at ~ ~ / a S• ~ p'~h ~ .
Ree~
(St,wt and Numberl
jrn e-` 1~~ e rc e.. ST . L UG I E county. Florid.,
tc~~1 .
and lhis statcmenL is to be tmken us my declaration of citizenship. aclual kgal tesidenee and domie~e in tho Stute of Florida. ~
IP FOR TNE PURPOSE OF ENROtLtNG _Ii` FOR HONES7EA~ PURPOSES~
CHILOREN IN SCHOOl.~ PLEASE STAYE PLEASE CHEC.K: ~
YNEIR NAMESS ~
~ ?e.-~~°~cs. .(1`
h.e~~ ~~~:a ~~3~?4~,
~ ~U_r~u ~
RQ•n° e~ ~,~~1,~,_ ~,~RRUOCt~
' CLERK~CIACUlT~Qp~ ,
~ RFCORD YFRiF~~p~~ ~
. ~ ~ 1 ~r P!I'15~ :
- . - ~
~
!t
. !
. `
F
'3
I FURT}irR CERTIFY tha1, I will regi~ter at my local address wlien the registr~lion bool:s reopen. and corr.pl} with a~t
olt~cr rcquire~nents ot a Ieg~) residenl ot lhis Slale. -
I FURTtiE~ CERTIFY that I liavc no intention to retun~ to my formcr domicile. and 1 intcnd to remain i?~
~ LT P~e ~e , ST . U C 1 E . Cc?unly.
lCitY) . -
4
Florida. Qermanrnti;. ~
.
,
- . i
•
~ ~
i ~ t~'•;'•.,;'.
'{~~i~.'T'''•c'C; v'"~ .
_ ~ ' ' ~ . . ,.,~,,i • .
_ j:.-..~ ~ ~
. , ' . i_ 'i,.~}7 ` r . • .
r
~ . . . • ~ C~O ' , ~Nw/110~
. . ~ o? ~ ,4 /I~
(AdJress)
Sworn lo ub~cril,eJ brtura nzc thi!, day of ~r'Lt . ~ 3 S~Sb _
~ ~.n. » 7~
FZ.~;R _i'O I TRAS,~ CLE:R1: OF G I RCU I T COU2T
ST. Ll t E: COUNTY, F t OR i U!i ~
fiY : ~a c-~c~ . .
`-"-'~1Tr. r u T Y u u
.
~ BOOK PAGE , }
- ~ ~cn F-,~.,~~ ~i ~
~ ~ ~ ~ ~ ~ ' _ - .
~ ~ _
~ ,
~ ~Y'-=~~ ~ ~ -
- - ` _