HomeMy WebLinkAbout0752 De~laration of Dor~nicile and Citizenship
3~5~335
TO TNE C1,ERK OF THE CIRCUIT OOURT.
ST. LUC I E~ COUt~'i'~r. ~'t~oRIDA: .
Tbis b aq? deelacstbn ot Doeoidls aAd Cit~sn~hip in tbs $tst~ oI Florid~ tbat I am ~ tAis d~,p in aooordanee. and ia
ooatara~ity with Seation ~88.17. Florida St+~tutes.
I wss torma~ a ie~al residsaL oi ~f /E'~D'~ ; . - ~ wd I
~ IGty
resided at /C"! ~C ~ - Howevar. I have ehanged n~? doa4icib to
t8tr~t ~d Nw~M~
aad am ~ad bsve beea a boas f
ide reddeAt ot tbe 8tate ot F7ori~a stnos ~U'
- -19 7~aad I ~side at ~ / ~ .
tSte«t a~d 1Vamarl
_ ~ A sT . LUG I E County. ~a..
, , ~ ~ ~4~ ~ ~.~s_
•nd tbis statemeat b W De taken ss m~ deeiarauou a aiisansnip. aeia~a. .ags. ~~,~.o,.w .i...
If POR THE PURPOSE OP ENROLLING If i0R iIOMESTEAD PURPOSES~
CHILOREN IN SCHOOI~ P~EASE STATE P~EASE CMECKS ~
THEIR NAMES: _
F ~EO AMU RECORpFO - .
S~. LUCIE COUNT1r pl~;
CLER~ItCG ~C~lT C4SttRT .
kECOR~ VE~t~~~r~~
.
- SEP Z ~013 ~'I '75~
.
a~~~
I FURTHER CEATIFY that I w~71 register at my bcal addres~ when the r+egis~ration books nopen. and eomply with all
etber requiremenls ot a kgil resident ot thi~ State. -
~
~ I FU~ER CERTIF'Y that I hsve no intention to return to my former domica'le. and I intend to remain ia
7~ ! C° le L' . $3 . L u C 1 E' County. -
. ' _ (Qit~) .
Fbrida. permanemi; . -
~
a '
; .
.
-
. _ -
- ••'~(;ii ~ i'.
• , .
, OG
C~~; y.jj
_ ' :
h~` F-. ~ `i'~r•~( G ~ ~
« . . L / /Q ~V
~ 4 ~ v~,, ~i~ , ' • ~ J ~
: (tf`• _ f• ~ : 4`~ YO!) ^d .
i 1 n ~ yZ~ ~
_ • , ~ ~ /7/C
.~t.~~'•4`-:'r" ~
j 1i'' ~ ~ ~ ~ ~ . . ~ ~~roN~
•
~ ~ ` ~ ~''~j 1~ e C~ ~A
Si~r~
~,~t~pYB~j ,~1~elore me this ~ day of .
~ t .
; ~!i~~..~~~ ~ - f~~''
A.D.19 / J -
. -
ROGER 'f"41~TRAS. CLERK OF C IRCUI T COU2T
ST . L UG I E COUNTY, F I.OR 1, A .
BY: ~c
EPUTY LERK
' S00lf ~~J PJrCf 1 ~ -
' • AC.O Fona 7t -?2
- - : - .
_
::,~~;H