HomeMy WebLinkAbout1371 Declaration of Domici~e ana c~t~zensnip
. ~ 316~`4
TO THE CLERK OF THE CIRCUIT COURT. ~
ST. Ll1C I E ~pUNTY, F[ARI~A:
Tbis is mr declar~tion ot Domieile uid Citissaihip Ia ths SLate ot FbrWa that I am t~llag tl~is da,y in aooordanee. ud iu
eonfocmity witA Sectaa 222.17. Ficrida Statutea.
I~ras tormer a legd reaideat ot . /Y t w `~~'r 5 u~ and 1
IGW ~ L~d ti
resided at g ~ C~'1 t~ V~{~f ~'~'r t~- - Nowever. I b~ve changed nq? domicib to
ISte+~t a~d Nu~~d
snd un and bave been a boaa fids resideat ot t6e State ot F1orlda siaos t
sr ~~f't.-.,b11' ,19.Z,~.andIresideat ~~OZ• CY1~%rr ~o c..c~. ~~-9Kewo:o ~rK~
(~hwt aod Noo~brl
F• i~i ~ rc G- ST. lUG 1 E Couac~. Flo:iaa.
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and this statcmeat ~s to be taken ss my declantion oi eitizenship. actual kgal resideaee uid domit~7a ia the State ot Ftorida.
IF POR THE PURPOSE OP ENROLtING IF FOR ~lOMESTEAD PURPOSES~
CHILDREN IN SCHOOL~ PIEASE STATE P~EASE CHECKt
THE{R NAMES:
FtLEO ANU RECOROED
ST. ~UClE COUNTY F~A. _
~ ROCER e•OITRAS
' . CLERK C~RCUIT COURt
RECOAi? YEM~fIEO
s~ e i2 38 PH ~r5 -
3~s~4
1 FUItTNER CEATIFY that I will register at my local addres~ when the regis4ntion books reopen. and eomply vrith all
other requirements of a legal resideat ot this State.
I FURT~jE~ C~RTIFY that I hsve no intention to mturn to my former domieile. and I intend to remain in
l~'. ier~t ~ ST. LUCIE~ .County,
(Cit~1 .
' Florida, permanenti; . ' ~
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- Sworn to and sub~cribed before me this ~ day of ~'t r~`j., r~G • ~
~ ~ "E' A.D.19 7.~
~
~ ROGER PO! TRAS, CLERK OF G IRGUI T COUtT i
~ ST. LuCIE COUNTY, F~oR~,~a
BY: c v~
ePUrY ~ K
, gppX243 PAGEIJ~~
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