HomeMy WebLinkAbout0786 Declaration of Damicile and Citizenship
TO Tl1E CLERK OF THE CIRCUIT COURT, 33fi`712
ST. LUC 1 E COUNTY. FLORIDA:
This ts m~r declantio~ ot Domicile ~nd Citlzensl~ip ia the State ot Florida tbat I em Ciling this day Ia a~tordanee. and in
contormitr with Section 222.1T. Fbrida Ststutes. ~ ~
I Wi3 fOFi~1CF= a kg~ resid~at at J(~~~ O~~ and I
l(~V) IStat.l
~t ~~s ~~O S-' ~~-c - However. I have changed aq? domicile to •
(3tre~t ard Nnmber) /
and am t~nd have been a bona fide resident of the State of Florida ~ince ~ h ~ 7V day of
~ ~ ~~y ~Q~~
. -19~~~ and I reside at ~
, (8tce~t apd Numberl
~ _ ST. LUG 1 E Count~. Flo~;da.
~ tCit71 ~
' and this statement is to be taken as my deeluation of eitizenship. aMual legal residenee and domicik in the Su?tc oi Florida.
IF FOR THE PURPOSE OF ENROLLING Ii fOR HONESTEAD PURPOSES~
CHIIDREN IN SCHOOL~ PLEASE STATE . PLEASE CHECKt, ~
THEIR NAMES:
f LE~ AuD iiECORDE9
f~ LUCIE COUMTY FLA.
ROCE~ POsTRAS
CtERK C~~?~UIi COURT
R~~ORd vERiF1ED
.~i 1 9 ~s A!1 ~rs
336`712
` I FURTIIER CERTIFY that I will register at my local address when the registration books reopen. and eomply with ~U ~
; othcr requirements o( a legal resident of this State.
I
~ I FURTHE~ CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ • ~ ST . l_ UC 1 E . C.~anty.
~ (Gt~l .
s Florida, permanenti; .
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= Si~ori~o add subs.cribec~belore me this day ot ~G~~ v~ y~°~e
a , - I
J• Q ~ A.,/.19 7 6 .
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~ OG~_~tA"t~; CLERK OF C IRGUI T COURT
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~ ST. .'L~JC ~ ~OUNTY, F LOR 1 UA
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BY: ~
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