HomeMy WebLinkAbout0806 . . . -
7 ,
Dec~aration of Domicile and Citizenship ~
;
}
32~13~ _
TO THE CI.ERK OF THE CIRCUTf COUAT,
ST. LUC i E (~OLMTY. FLORIQA: ~
ThIs v m~ dectaratioa oi Dotric~e and Citisenship iu the SLate ot Florida that I am filing this day ia aeoordanee. and in
coni'ormity artth Sectiaa 222.1T. Fbrieia Statutes.
I Mas formeri= s legai resident ot ~l1 ~ n 1~ E Lcl 1~O and i
- tCitrl t8tat~i
nstdsd at _~v ~w ~ iv nj ~ T. . . Hmvever. I have etunged my domieile to
IStr~+t aM Nomt»~l ~
u~d am aad have been a boaa fide reaideat ot the State of Florida sinos C~/i.iT day of
Qe U ~ ~ ~ .19~_.,,~. aad I nside at ~ J ~~Z ~ wD ~ ~I~Cu~r ~
t~ T f
Jr C.F tsa..~.oa N~e.r~ ~
ST. LIJG 1 E ~p~y, ~•~aa, ~
taU~ ~
and this statcment is to be takea u my dec4ntion d citizewhip, utual kgsl residenee and domicile ia the State of Fbrida. i
}
~
~ IP POR THE PURPOSE Of ENROLIING IF fOR HOMESTEAD PURPOSES~
CHiIDREN IN SCHOOt~ P~EASE STAT£ PLEASE CHECKt ,~`1
THEiR NANES: ~ ~
- - ~
`~~00~
c•0~i~11Y~ • ~ ~
OLE~K C~~CU1t ~QUKt t ~
RECORO V~~~fl~0 '
~it S 4~ ~'~6
~ 324133
I FURTHER CERTIFY that I will register at my loca! address when the registntion booka nopen, and eomply with all
other requirements of a lega! resident o! this State.
I FUR~,'HT3 ~RTIFY that I have no intention to return to my former domicile. and I intend to remaia in
t I~~G~ ~ ST. l.UZ1E .County
.
IC'+t7) _
Florida. permanenti; .
~ ~
i' . LJ/•', ~ • ~ l/ !
. ?
'-..'.YS' "'c:y" . . -
' • ~,1, r . • ` IName)
~//C:.- ;i~(`':, ,
~ ~ ~ ~ ~ : (Addrsar)
, S~vtstn~~alla~subseribed betore me this ` S day ot ~ ~
~ c c c a-c~ . A.D.19? 6
GER P01 S CLERK OF C IRCUt T COURT
ST. L UG t E COUNTY, F l t vA f
9Y. ~ , eouxZ~:7 Fac~ 8~6 `
EPUTY LERK
~
~
s
'
'4~'--~! rx.-..a ~
- - ..C.-«:_ 4-T~~:
_ _ _ _ 4:a.~-,z~.. ~