HomeMy WebLinkAbout0407
i ~
Declaration of Domicile and Citizenship ~
' ~
~ ~ ~ ~ ~
~ ~
TO THE CLERK OF THE CIRCUIT COUAT. ~~"~~j~$
ST. LUC 1 E (,p~Ty. ~'I,pRIDA:
This u my deelaration ot Domieils and Citiunship in the Stats oI Fbrida that I am fiUng thia day ia aeeocdance. and in
oo~tormity with Sectioa 712.17. Florida Statutee.
Lwas formerl a kgal nsideat ot ~V e~'~'v Q~~~ and I
resided at a 3 3/~ ~%~Q~~/l~ t~,(~ . . Ho~rever. I have ehanged mp do~nicile to
l8tr+~t aod Nns~rl ~ ~
aad am and have beea a bona Clde rasideat ot the State ot Florida sie:ee ~ 5' day ot
E~~ i~_..[. and I reside at ! • ~ .
(8tewt aed NumbK)
fT, ~l ~'~C~~ ~ ST. LIJC I E Councy. Florida.
Ipt~1 -
:.-.d statemeNL iS t0 b@ ~ICC[I iS Qly d!'CIiTi~l01! OI t111i!l13IUp. actud legal residenee aad domieile ia the State of Florida.
iF fOR TNE PURPOSE OF ENROLLING Ii iOR HOMESTEAO PURPOSES~
'CHIIOREN IN SCHOOL~ P~EASE STATE PLEASE CHECKt I-TI
THEIR NAMES: ~ v ~
i
~
! F~~ED K~ ~ KF CU~tDEC
ST. LUC~E GCUMtY FLA.
~F.= ,^JiTr2~S
Clf ~x ( :a;.~!1 COURT
fiF"Cp,• ~r . .•rl
.
SEP 16 10 0o AM '~5
~ ~.'~~i98
I FURTHER CERTIFY that I will register at my local addres~ when the regisiration book~ reopen. and comply with aU
other requirements o[ a legal resideal of this State.
I FURTHEZ CERT~' FY at I have no intention to return to my former domicile, and I intend to remain in
/~i~IeC~~ ~ ST. t.UC I E~ .County.
ICit~1 .
Florida. permanen~i; .
~
,
. ;
. ;
, ~ ` ~ ~
; i j C . , i
.
~~~,~~'~~~vv~~"y~
~•.~G"'-..: - . ~
~ . ~ y1`il"..~~~ ~~.~~r ~
c~t r .:y.
i
• .I ~ ~ .
IJ~~. ~ ? r w'yl~ ///~////j~
~wi.1 G ~ ~ w,~,' ? ' ' -
Ii~ . ~f s~yl
4 • "
_ . . -1 ,
. . . : jj
~ ^R~ti=~.. • ~ ~ ~ , /
. C' S". . - 4.1;~,
.
' ~~'l~~.~'•?,..~~ ' ~N.~~
''•r,~,t,t~r,
~ (Addrou) ~ '
i
Sworn to a subscribed betorc me this ~ dsy of `
~ .A.D.19 7s ~
i
ROGER P01 TRAS C~ERK OF G I GUI T COU2T . !
;
ST. LUGIE COUNTY, F~OFt1UA
BY:
EPUTY IERK
~ ~ g~oK 244 P~~E 407
~ ACO F'orm 7l ~l
; _
, ,
~r~ . _
- ~ :
y... . . .
~.~s.n:.;..~__~, ~v:_ - .
. - . _:r~~ .