HomeMy WebLinkAbout0815 r
D~ciaration of Domicile and Ci~iz~nship '
. . .
• ~ F
. . ~ , ' ~
. Y~~B ~
TO Tt1E CLBttK OF TIIE CIRCUIT COUItT. ;
• t
ST. lUC 1 E •
~70UNTY. F'i.ORIDA:
t
f
' • !
Tbis is my dcel~ntion ot Domkilsae~d Citisonship in the State ot F'lor~da that I~m fiUn` tAls day ta aooordaneo. ind ia ;
~oatamitr wilh Seetioa 2~.17. Fb~ida Statutcs. _ ~ ~
~ I wa~ to~mr~l a kgal reaideat o~ o~ r u1 e Q 17 ~ ~ 14~EuJ ~?E.CS E~_ and I •
. tC1y1 fstat~l
~ restded at a ~ 7 _~n / L.s~S ~T. }~~~er. I have ehanged mr domie'k to
18tiwt a~d Nw~e~! . •
~ad am aad have bc~a a boea C~de residoat ot t1w St~to o( I~'Iorlda since daj? oI
and I residc.c .5/vL. v.q~/0~ r.~T -ST. L
l6t~wt wd Nwaeerl ' ~
j~' A_Z".~ ST. LUG i E Camcy. Flor~a..
ICK~1 ' - `
. t
aad tlds statcmcat is b bo taken u my deeluattot~ ot eitizeaahip. adu~l kgal naidcnco and domicilc in the Sta/e ot F'brida. ~
If ~OR THE PURPOSE OF ENROLLiNG If FOR HONESTEAO PURPOSESi
CHILOREN IN SCHOOI~ PLEASE STATE P~EASE CHECK: ~ ~
"HE IR NAMES: ?
. ~
~ .~.r~.?f ~F.~"L~ - .
. • sT lUC1E COUNTY fLA. f
- CtERR
CInCU~T C URt ~
• ' RECORp VE~c;t~E~ ~
_ ~
. : ~ - ~E8 Z IO 34 ~ '76 {
~ ~ - - 3262~38 •
~ I FUR7'IIER CF:RTIFY that 1 will rc~islcr at my local address when thc rrgistration books rcopcn. and eomply wilh n0
; other requircments o( a Icgal residenl of this Statc. ~
i _
r
' I FUIiT1iF:t CEitTIFY thal I havc ao intcntion lo rcturn to my forn~cr domicilc. and 1 intend to remain in
~ ' ST . L U C 1 E ~ G,unly.
~ (City) .
~'lorida. pcrmancnti~ . ~
~
~ ....~..l..1 ~
~ ^ .
~ t~..~~ •
~ . ~ `-~-~`.+r . ••,~C~~ ~ '
~ . sn ~ `G ~
~ ti ~ a • .
~ . • . • . • ~O
: ' C ~
~ . ~~a
h `
~ iAddr~)
~ 5worn to And +uhscribcd bi~foro mo this ~ dny ot
~ • "
~ ~ l~J. ' , A.b. f0 7C~ _ • ,
~ .
~ ROGFR PO~'RAS•
C!_FftK Ot' C IRf,UI T GOU2T • .
~ _ .
~ ~T. LuC I E coUNTY, f~OR ~ un
~ ' • -
m
~ gY: - .
~ l: ' 1 Y LL'ItK
~ E:.~ 2~8 ~ 813 .
~ ~
~ :
~ .
,
~ ~ - s - -
- - _ ~'~~~n~~~~._ '