HomeMy WebLinkAbout0347 . .
t~eciarat~on of Dom~c~le and C~tizenship
TO THE CLERK OF THE CIRCUIT COURT.
ST t L UG 1 E CQUNTY. F'LORIDA: 338~~a3~! . ~
' Tbb is aay deelaration of Domicile and Citlunship ta tbs State ot Florida that I am t'iling this day id aceordance. and In
eontormier ..ich S~ctton 222.17. Florida Statueea.
7 was formcrl a legal resident of JU-~ `1u-a v1 ~ ~ 3~ .~t C~.Y'`~U , i CO ~ I
(pt~l lStat~!
~t ~.~Q~t,t y~~ ~ard e~.s ~ 3 Al~- ~0 ~C/ . However, I have chaaged my domic~e to
~su..e.sa ?
•ad am and have becn a bona Gde resident ot the State ot Florids sinoe ~`G ~+Y o~
Jt~ Y1 P. ,19 ~ L" ~nd I naide at 2~1 ~ 5..~ •~O~ A~'It Y] /C;
~A~
(SterM ~ad Nnmb~t)
J~r~' Sf~ luC i~ ST . LUC i E Counc~. Fbrida,
tt~~ -
and this statement is to be Wcen ss mY attlantion of eitizea+hip. aetual kga! residenee and domicile in the State ot Florida.
IF FOR THE PURPOSE OF ENROLLING If FOR HOMESTEAD PURPOSES~ .
CHII~REN IN SCHOOL~ PLEASE STATE PIEASE CHECK2 ~
THEIR NANES:
ST WCIE COUNTY FLA.
. A4CEri POITRAS ~
CIEHK CfRCU1T COURT
RECORd V€k~Fl~~
MY HUSBANO AN~ ( 1 NTEN~ TO RENA I N HERE ANO ~O 16
BECOME PERMANENT RESIDENTS.••
ESTHER PI.YLER ~~p~~~ ~
HENRY ELLIS PLYLER `~~x~
I FURTNER CERTIFY that I wi11 registcr st my local address when the registration books reopen, and comply vrith all
i other requirements ot a legal resident of this State.
~ I FU HE CERTIFY thal I have no intxntion to return to my former domicile. and I intend to remsin in
~ r-t S-t - L ccc i~ $T . l. U C I E ~ County.
1(.l't71 .
Florida, permanenti; .
- :~ti.........., ,
, ,z ,
- ~ ~:~Y~~'i
~ , Ci ~ " ~ .
V ~c, . . ~ ..t cGi
.~j ~ :
'
-t I t i~ : - ~i' _ ~ ! J "
• • , "''4 ' ~ ' ' \ ~ .c ^ ~k-
- ~ : ~ r,~`„= ~ - ~ ~Y/:? ' t' "
. nl;~ ' y~, : : ~ .
. / J'•:~~''~~~ -`••'~y,l~` ~ '
~~n •'•~J
. ~ ~ '
1 G~ ~~~i~4_ ~o~ ..F
< i "-1 ~ (Add ! `
Sworn to and subscrihed be[ore me this dsy of I L~'~- ~ r~ ~-J~-<-< ~'.C i.,, ~[Cl ~~S`~"-
\ ? . A.D.19 7 fi
RO~ft- P01 TRAS. CI.ERK OF C IRCUI T COU2T
ST. LUCIE COUNTY, FIORtUA
BY:
EP Y tERK ~
~ ~*f ~ 2~~ p~ ~'1' ;
_ - _ _ . . ~ . ' -