HomeMy WebLinkAbout1629 Declaration of Domicile and Citizenship
~ . 320~g
TO THE CI.ERIC OF THE CIRCUIT COURT. .
, ST. LUC I E ~~pv~. ~,p~p~; .
Tb1~ b a~r dcelasatioa ot Doaakils and Gitis~asliip 1s tlw &at~ ot Fbsida tbat I am SNn~ this da,~r ta acooeda~a. and is
~oatormit~ wltA Sation 228.1T. FloridR StstutM.
• ~ P~ . ~ .
I was i~r a ewid~at o~ - ~
flrad Fe r~? C o V? ~?t ~.)1G41 t Ist.a1
resided at • o k[ 9 3 'h1 ~ c~ e 1 .~.l Soww~r. I I~aw chan~d aqr domiak to
I~t e~ N~l~el
r .
aad am ae~ bave bcea a soat Gde resident ot the St~ts ai b9ocids dno~ ~n ~ tr' ds~ o[ -
Qt.~ ge ~G ~(~(0 1
1~l e~• ,i~ 7s"..,,ai~u S• c7euk~N•s R~• t~~„0 e~~
Fr• - -
? e ~r e. e , ST. LUG I E Co~mt~?. F'jocida._
tCl1~ .
aod this ststeaaent b to be talcea ~s o~r declu~dioa ot eitt~enship. artnal kgsl cesidenee and domkile ia tM SLte ot Fbcida.
IF i0R THE PURPOSE Oi ENROLLING IP FOR NOMESTEAC PURPOSES~
CHI~OREN IN SCM00~~ PLEASE STATE PIEASE CHECKS ~
TNEIR NAMES:
~e ~NI • T T ~t~Q8~5
~ e.nJ tJ • e.N ~~.~-7
i f1L~ y~CORDEO
L~,~ d~ s. (3 T sT. ~~~r, ~:~v~~Y F«.
kOC~~. ~(:.TRAS
U c~ l e~ r i Q J. 1~ 2~~l Q,~ t +tF C~a~ k~` ':.JiT COURT
~E~ ~FrEO
5~.~,r r~. 1~ Q N~ e.r ~t- Nor 6 I~ ~s PM'l5
I FUR'11iER CERTIFY that I w~71 register at mr local addnss whea the registntioa books reopee. aad complp aith all
otber requireaients oi s legal nsideat o! this State.
I FITRTNER CERTIF`Y that I have no jntxntion to nturn to m tormer domicile. and I intend to re~nain ia
n
• T. L u c ~ E . Councy.
~ ta~~~ .
~ ,
' ~ Fbrida. Permanencl; .
; .
~ - ~ .
~ .r,,~ ' -
t~
~ ~ -
. Y _ - , ' , o
_
~ • - - ~ .
_t -
~ • - P~ ~ L S r m : LL ~e rc.
. - .
~ ' ....•C,' fe? ~
~ Sworn to ~nd subscribed betore me thts .~L~. dar of ~ i l° L', 3 J~' ~v .
~ . /
~ t3~yt-~c.L~/ . A.D.19 ~
i
~ . ROGER POI 1RAS, CIERK OF C IRCU1 T GOl~2T
~ , ST. LUC i E COUNTY, f I.OR 1 UA
~ BY s a. ~d~~c,f
~
E
t EPUTY l.ERK ~
~ , 600K~~5 PACE~6
25
; . .
~ -
E : n,
A('.!} f'._,..
L . . . ,
' : ..'n . f ~ . ~ ; . . , . _
~ ~ , .
~ _ ~Y . . . . '