HomeMy WebLinkAbout1424 .
Deciaration of Domicile and Citi~enship
To~ cc.E~uc oF~ cu~curroov~rr. 3203~2
ST. lUC 1 E apUKr~t. Fi,pRtD~: . ~
TAis b aa~r deelarattoa o~ Doealcik aud Cltissaship la tM 8tat~ ot Ffo:ida tbat I an~ ~ t1~is da,~ ia aaoedaoes. aad tn
~oatormity ~ritA 3eetioa 22Y.1T. F'forida 3tatuta.
t .
I was t me a kgal redd~at ot ~ I
1 l~
r~aided at l y ~QUh Q~t ~ - Ho~rwer. I 6ave e6soaed a~r do~e to
l8t~wt a~ N~e~l ~ ~ ~
sad ua and have beea a boaa ~ds resideat ot the 8tat~ o[ Florida sina C;7• o~ ~ day aI ,
- i~_~ aod i reside at ~Q
~ Q/~Q h~e 1~~~•
• - t&~t ad Nne~)
~~f, )O
j~,CQ . ST . L UG 1 E Cow,r~. Flocida.
cav~ . .
uid tbis statement is co be taten as m~? deelaratioa ot e~iti~enship. a,etwl legal residene~s and domiale jn tbs 3tste at Fforida.
IF POR THE PURPOSE Of ENROILING Ii i'OR HOMESTEAO PURPOSES~
CHI~DREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~
THE~IR NAMES:
~ .~i~.~ ~e~ ,de _ .
,
- ~ ~~~~~~w~~
~~~~,z..
~ r rci~~`s~
~tfP,K ~ ;UiT 40URT ~
• nFr~F, <i
N~? 5 ~ kl AN'T~
32U~2
' I FURTHER CERTIFY that I w71 register at my local zddress .rt?en the ngistntion books reopen. aad comply with all
other requirements ot a legal resident of this State. ;
' I F'1J87.'Ij,E3 CF~$TIFY that I have no int~ntion b ntnra to m former domicik. and I intend to remain in
~ ~/e ~ C~ e _ ~T . L U C 1 E , County.
F {C'it~) .
s ~
~ Florida. permanenti; .
~ -
>
~ . .
~
~ .ti ? , '
€ , ~ .
' ' ~ f t ~
!i ' ~f'
~ . ' . . s3 ' .
..iQ; >;.a . , ,~~L nwr e~ c ~ ,~P ebe
~ ' . ,'t: i".et fi•~ ~ ~ ~ \
~ = J v ~ . :
~ = ~ ' ~NYM/ t
~ ' ~
C : ~ , ~~f'~M~ -
~ SWOfN ~i[l(~iTit1bC~t~ ~IOtC ~fE ttltW dtj/ OI
~
~ /I~~v e ~'Y1 ~ ~ A.D.19 7J~
~
~ . ROGER PO TRAS CLERK OF C RCU 1 T GOl~2T -
£
~ ST. LUG 1 E GOUNTY, f LOR i UA ?
.
~ BY: ~ Q
~ ~TY LERK ~ R 245 F~~1420
~ - BOOK
~ ~ .
a,; ,
_ ~~.=~,;x~ ~ _ - _ . . 1 ~-r,
~III ~
~i
_ - ~