HomeMy WebLinkAbout0737 Declaration of Domicile and Citizenship's~~'~'~~
7'0 TtiE CL~RK OP TI IE CtRCtIiT OOURT.
ST. ~UC i E ~p~~. ~,p~~:
r .yr e.~.~~ ~ c~~. .~a c~e~.~ r~ s~.~..c ~a. ~w t ~ ua. a~? .««,a.~.. ~
~wiy ~iu S.etio~ ~.t7, t'lor~ Stat~.
1 wr i~e a Ic=al nside~t ~f ~ L~ C L c~ , /I~t F1'Sc= f~ Md t
lafl {~wN
~d at • ~ / ~c F? n'D ~ ~ ~ HMn~?tt. l l~aw el~n~ed ~y doe~eik to
IMrMt W N.rWf
~ aad ba~~ b~ ~ bon: Cd~ e~sidept of tM Stat~ ot Florids iiaer t?~ tyr o~
_ . ,
_ `J . if . aad 1 rtsid~ st L_~
F o
c_i:
,l~ /f.c6rc.F_ l-~c.~: p/~1.t~~c L.S • t
_ ~ {NeMt ~ Nwwrl
r-~•~ T~'r _ ST. lUG I E Cou~tr. Florida.
~W _
a.d eliis wt~a~e•c i~ co S. eakn as ap deelarseaa ot atisensti~. aetwl k~a1 nsid~acs .ad domical. ia tM St~a ot F'Iorida.
fOR TME ?UR10SE OI ENROLLING ~1 /OR MOMESTCAO ouR?OSES,
CMII~REN IN SCNOOL~ ?~[ASE =TATE /LtAS[ CNCCKS ~
YM[~R NAM[SS
,
.-~_~If~'G4/~ _].E 11I_aS~r 1
l!•~ ~ f~`~
~~lf 0 . t ~,.KUfO
sr ~u,.: -~I;MTI~ ~1.~
Ar~•.~ - r •~-RAs
r
°fr~:; ' ~ COuR! j I
,
~ ~uc il I 3v PH'l6 ~
~
1 E'URTi1F.R C~RTIFY thd t w~1! ~e~ste~ ~t mr bcal address wAen the rc~st~atan books nopea, and comply w~itA aU
otlKr requirrments o( a kRal rrs~deat ot tA~s State.
i
~ 1 Ft1HTt1EZ CER~IF'Y that 1~ havic ew ~ntrntion to rrturn to m t~mc~ domiuk, and 1 intend to rcmaia m
~ • r ~.'I ~ :ci , ~T . L U~ E , Countr.
tGt~i
e
~ t'brida. permanenti,. ~
~
~
~ _
_
~ ~
R
' • _
~ ~ ~ r..~ ~ \ ~ - .
~
~
F
- ~N~M~
} • U1Mrw!
S~orn to and sut,scribcd brlore mr this day o1
a . A.n. 7~ _ i. y/V 1~ 1~ I 1 C h i~'1
s > . ~ ~
~ $Q~~~ ~C RK OF C IRCUI T COUtT
~
~ ST. LUG 1~ COUNTY, FL(~Fr t UA
~ ~
~ 8v~
~
~ ~ ePUTY ~ K •
~ - . ~
~ • ~ ~,J~! ~
~ .
;
_ - •z~ ~
~