The URL can be used to link to this page

Home My WebLink About0551 . D~claration of Domicife and GitiZ~nship ~ t _ . . , ~ . ~ . . . . - _ ~ ; ~~~s. ~ . , ~ : ~ . . : . . , ~ . ~ ~ i . _ . - . . TOTHE CI.ERK OF THE CIRCUIT OOUAT. . . . . , . . • , : . . • ~ ST. LtlC 1 E ____,~OOVrrrr. ~tAnwA: ~ : - . . • . ~ • . ii '11i1a b av? declaratloe~ ot Domtctls i?nd Clttsenabip tn th~ Stat~ d Fbcida ehat I am filtat thG dq ta acootdane~~ and in +eoatonoity wjtb Sectioa 222.17. Florida Staty~p~ • 7~F~~ I~va' i~~ ~ kga! tesideat at ~ir~~...~°~....GQ~~ L~ ~~L_ aad I . lGt~nl I~t~f ~ ~ u ~i. d~t- _ - x~. t ~?a~~ c~ - tdt~wt a~/ N~slrrl ~ • , ~ and sm a~d have beea a bona Gde residept oi the Stat~ al Fb~ida slan ~ 9,.._ dyr ot ~ -~u ~i-~s ~ 1~..',~.2,. and I e+e~We at ~7'~ Ley~•f' /'o~i~3'~~ ~~Q1Ls~~• ~ c~ . - tsewl?md Numbesl T~ ~/~i.n`~ ST. LtJG I E County. Flaida. , - ~t~~1 ; ' ~nd this:tatea~eat b to be taken as aqr dceLratioa o! dtiua.+bip, actual legai residence ud domic~e ta tbe Stato ot Florid~. ~ : . . : . ~ . , If POR THE PURPOSE OF EHROttiNG IF i0R HpMESTEAD PURPOSES~ ~ CHII.bREN f N SCHOOl~ PLEASE STA~E PLEASE CHECK:- ' ~ ~ THEIR NAMES; ' _ /~.J~i ~ ,~G..._. _ ~ ~ . , _ ~p ~ . • p ~pn~RAf ~ # - CtERK CiR~' OOtJAT - i L: r~r" ~E1tif~EO i • ' ~ . $~F t ~ Z ~ 2 PN'T1 s _ . . . - ; _ . i : - ~ ' _ ~ 3~l3465 ~ ' . ~ ~ - - . . _ . . . ~ . 4 1 FURTHER CEATIFY that I w~t registet at mr bcal tddress whep tl~e registration booka reopea, aQd oomptp ~?ith aU ' other stquiremeats ot a kgd resident at this State. ; F I GTRTIF'Y tlu~t I have ao intcation to nturn to mr .former domicile. aad I iatend to rems~io . in I~ m ci ~,_~yr~ ~-~-~~Cli,~l ~ ~ ~ $T . L Ut 1 E - Couaty. - tatc~i _ . , . . Fbrida. permancnti; . ' _ ~ _ ; - -.~;;~g:',~~,~. . ~ , , . .r,. ~~°~r , - • = ~*'°~s~'- : . : s'~ ' ~ ' t ;~:o~'%-; ;-i:'•:C:!. ' ~ - , ~ _ ~ . ' .~t, ' ~ i ` - . °e . • . , . , • • . . . . ;+t; , r•~:_. ~;r.,i~,, . . ~ti .•.~.-`.•tf~~tsi . • -'s:- 5~ . . . ' . ~ (w.v.l - ~u? Swocn to aad ubsc~ibed beforo me tbtt dyr o~ _ . - . . A.D.19.~.7~_, R AS C ER Of C iRCU! T COU2T ST. Lt1G 1 E COUNTY, f I.OR 1 UA ~ . a,r: . - , . LPUT LERK . „ , ~ . . : ' . . ~ dooK 2~4 P~ 55Q . ~ ~ . _ . _ . . _ . . . y....:-:~..~,....:--n.L:.:._r++.d:b;..:.a : r.~.. .•.t. . . . . . .