HomeMy WebLinkAbout0520 • . • ¦ • • ~ / ~
Declara~~nn of Dorn~c~ie and ~~~oz~nshlp ~
, I
• . ~
i
t
TO TI[E CLF.RK OA` T11E CIRCUIT COURT. . Ji,~
ST. LUC 1 E CpUNTY, Fi.ORIDA:
-
Tiris is mp dcclaratian ot I?omicile and Citezen~hi~ In the St~te ot Florid~ ttut I am Cdiag tbia d~y in accotd~nce. and in
coa~ormity with Scetion 222.17, Flo~ida Statutes,
I wa~ (or~ a kgal resident ot A 6~ 1~ ~ Y ~ ~ 7~ 4 and I
. ~cuyt ~s~.a~
e~sided at _ 3~i 3 3 ~ ~4 ~-~,,~V E No~vever.l have changed my domicile to
- (8tteet and Numberl ~
and am and hsvc been a bona fide rc~ident ot the State ot Floridi aince ,~5 ~ ~ day ot
- ~ .19~SQ. ~nd I nside at Z i Z l= ~ 12 ! V L= S P.q !J I S~-1 L~- A kC S
18t++~t asd NumMtl
~~o tzT ~ v G 1 L. 3 34-5 2., ST. lUG i E Councy. Florid~?,
Ipt~)
and this statement ia to be taken a~ my decbration ot eitiunsAip, actual legal re~idenco and domicile in the Stste o[ Fbrida.
IF f'OR THE PURPOSE Of ENROLLING If fOR NOHESTEAO PtiRPOSE ~
CHILDREN IN SCHOOI~ PLEASE STATE PIEASE CiiEGKS .
tHE1R NAMES:
i
~ FILEO AhU RECt7R0ED
ST. lUClE COUlITY ftA.
ROCFR FQItftA$
CCERK C~RCUIT COURT
' R£COP.D VEP.IFiEO
. S~r 30 2 i j PH '16
3~~f:s~:E;
I FURTIIER CERTIFY that I will rcgistcr at my local address whcn thc rcgistration books reopcn. and comply x•ith a:l
othe* requirem~n[s of a iegat residcnt ot this State.
I FUItTIIEZ C~:[:TI}~'2' thzt I ha~•r no intc•ntion to rcturn to my formcr domicilc, and I inlcnd to remain in
' " , S7 . L UC 1 E , County,
(Citrl . -
Florida, pcrmanc*ui,. ~
) . . .
, . ' .
. • 1~•, . .
~3,; - , ~ ~
. ' ' : r - .
' ,
r,, . INuae)
!i~' ~ ir~,••
C~ ~'r. s~ lAddrsa)
Swarn lo an~"sui;~cribcd bc~loro mc lhis day of
Y~ , n.n. i9 7G _ .
RnG~R P01 TRAS, f(_ERK OF C tRCUI T COI~tT
ST. Ll1G 1 E COUNTY, F LOR i UA • .
8Ys
. ' UT Y R K 8~~~ .