HomeMy WebLinkAbout0160 Declaration af Domicife and C~~iienship ~
~ .,~1
TO T11t: C1.ERK OF Tll~ CIRCUIT COURT. ~
ST. luC 1 E oovrn~r. ~.onio~:
71b b my decla~~lio~ ot I~ocnkib ~nd Cit~cnsAiP in 11~e 5tat~ ol florda th~l 1 as Cdia~ tAis dyr b~ ~ceordancs. aad ia
~o.tera?~ty ~rcth s«tion ~T. Ftona. st.cutes.
1 ~ru iorm.~l a k~al resideat o/ 7~ ~ , _ ~ ]
~ri ~
t~sided at i f1 L f? ~ L . However.l baw cAansed mr doinieile to
{AtiMt u~ Nw~l
ud a~ and Aav~ Lecn a bona Gde nsident ot the Stau o( F'iot~da si~n d"~ day ol
~t1~. aad 1 ns~e..t L%~~' ~ s. L_- _ C~ c' /,1 1- J T. t~ C~~ .
- I~Mt r/ N~M~I
fj _ 7~ S~ L r" c: f I- _ ST . L l1G 1 E Councr. florida.
toV!
~ud tAb statemcal is to Se takco a~s m~ declarst~oa o~ citizen~Aip, attual k6a) tesidenes aed domicii~ iu tM State of ~lo~da.
~
I~ i'OR TH[ ~URPOSE ~f CNROLIING If 1'OR HOMEST[AO PUR~OSES~
CMIL~REN IN SCNOOI~ PIEAS[ STAT[ ?l[A3[ CHECKS
1H[1R NAMES:
.l-s~~~.l ~~i3 ~-C /1 ~~1 i
i1Lt ~~1:'t~~ ~
~y' , , 'ttS
.
L~ sC'a~T
r. Ci~
s. W'76
~ i~ i 1 i~ w~'
a i•~ rG•~.~ ~i'{
1 FLfliTlit:lt CF:RTIF 1' that 1 w+ll rr~stor •t mr lo~a) ~ddress w!?en the rc~stratioa books reopcn, •nd complr writh ~t)
o!l~cr rcqyircmcMs ol a I.•~;al re~idrnt ot th~. titatc.
` 1 f UltT11E:t CE:ItT1PY that 1 have no intcnUon to rcturn to my lorox~r domicik, and 1 intcnd lo rrmam ~n
i~c r~ r_} j ~ c. ~ .~~1_uc.LE .ca,~~r.
~cK,?
Fbrida, prrmancnti, . ~
i
i
k
~ ~
~
~
C
~ + :
~ ~ ~ / ~ ~
~ . ~ i - , ,
a .
,"a L - / ~ , L - f - f.~ ~
~ J '
5 . `J-- , /'~C
~K~~)
,,-lAIdRN~
~ ~
Sworn to and w1~.critMd tN•(s~rc mo th?~ d~r of ~ ~ ~ " _ ~
~ r'
' . A.[). l9 7 f,
:
.
R(1GER f'n~ _._S,_Ct fRK_ OF" C I~?C.UIT COl~2T
ST. LUGI E COU~~TY, i~or~ ~un
~
~ E3Y: " ,
~ C V L C n K PlJt
~ ~
~
....r~F(' _ - I ' ..:~.•r
,~~ti:_r ~v~~ . - . ~a"`~"-~,. _ .s_Y