HomeMy WebLinkAbout2840 . i
. `
1
. - - _ ' . 3~9~92 ~ -
Q~~~ara$~s~s~ r~f ~3~r~iE~~~ ~r~d C~~=z~~~~iip
. .
TO TII~ Cl~ AK OFTHF C1RCUIT COUItT.
ST. Ll1C I E coux~t~. Ft.o2~~n~: '
' TAis I~ my dectaration oi Domieilc end Citiunshep in tlic State ot Florida tfixt 1 am filia6 this day in ~ccordanee. and in
ooatormity witA 5eetian :..1.17. Floridi St~tutes. ~
I/
1 wias !o~ 1'IIY ! M}!iI rt31dlIIL Ot ~5~~~ ~ ~ ~ ~u?d I
. l(.l'1~) 19tau1
trsidcd at fC •~~2f~` ~ _ Iloaever. I hare chan~ed mr domicilc to
(SUe~el ~nd Nomb~r) - '
asd am and lu~ve bccn ~ boaa fide tcsidcnt of thc Stste ot Florida sinte ~+Y ~
~ ~
. 39 sad I mide at ~7 {Q ~~~GG!!_ -
.ed Nomber)
~ ST. Ll1C ! E ~z1d,,
t
aad t6is statcmeot is to be taken as my dcclar~tion of citiuaship. actual kgaJ mid~~xe and domi~ik in the State o! florida.
. IF i'OR THE PURPOSE Of [NROLLINC .If
FOR HONESTEAD PURPOSES~
CHiLOREN IN SC1100~~ PLEASE STATE ~ PIEASE CHECK2 ~
7HEIR IiAHES:
~.y~~l/? i~L _
- ~ ~
,
• I FVItTHER CEttTIF`Y that I wil! rcgistcr at my local address when thc re};idration bools rcopen, and comply with all
othcr rcquirements of a lrFal resident of this Stata
I FUR IE:~ CER 1' thtl I havc no intration ta rcturn to my formcr domicik, and 1 intend to remain in
~~j'f • $T . L UC I E CoUnty,
/CY~I .
}'lorida, perm~ncnti~. ~
_ , ~ ' _ `
:
~ : ; ~
- . ` • :r - . .
- . .Z - ' ~ ? ~ - -
• -
i. ~ ' -
: . % ,^y • ~ ~ ~lJamt)
• ~
Swurn to and suLscril~l Lclorc mc lhi+ °Z ~ daY of -~S --~~~.,~s
"i ,'t='~-tl-Lt~' _ A.i). ]9 7
S
~ ROGER PQljitAS,,CLERK OF C1RGUIT COI:RT
319~9~
~ sT. ~.u^. i c~u~~nr, rLCxt ~ ~n . ,
BY: ~a.~.te~... ~~-~c~CZr fIlEO ~?iL NECORDEO - .
- SI. LUC1~ ;~;JNTY FLA.
UCPUTY ~cux ROc:~~?p~~RAS ~
' ~ CIE~K "iW~ COtfRT 6'' '
, pcrna~; r~F1
o~~ ~o I I la AN ~r5
8D01(~~4 PACE~04Q i
~
?
. '
_ _ _ .