HomeMy WebLinkAbout0386 , • . . . . . . • 1
Declaration o~ Dom~c~ie and C~~~z~nsh~p :
4
. ' • • 39f
035 . ~
;
. . ,
;
. -
TO TNE CGEEt1C OF THE C[RCU1T COURT.
~
t
. ST. LUG I E COUNTY. FtAtuDA: ;'i
. • . '
'rht~ is my decluatba o[ Domieil~ aad Citisen~hip ia the State o~ Flo~ida that I am filina this du~r ia accordaace. aad ta
f`
~oofaea~ity with Saction 222.I7. Elorida Statut~s. i;
. • S °
I ~raf Ioemer! a le~al reaideat o~ ~rL JVJ/¢-/~ ~~~,y ~~f'~~ and t ~
s~_-~ ~t~cp1 ta~.w i :
u 11,y ~tJ ~~//3/}"/Z%
di~ ~/~c~i t/[r~ - Ho~r~vir. I ba~~ ehaaged my domie~e t~o
T law~t and Nws~l 1;
aed am and hav~ been a boaa Gde resid~nt ot the State ot Florid~ aiace ~ dar of
19~_.. aad I ceside at /VLrT• L G~
S 1
s L,~~v' t~ L. pT 3 S'~
(Sw.t ~sd Nump.rl •
' - 5T. lUC 1 E i
County. Fbrida.
tc~il
- and tbis statement is to be takee as mr deeLrstion ot eitizeaahip. ~ctual kgsl reaidence aad domicile in the State of F'lorida.
IP FOR THE PURPOSE OP ENROLLING IP FOR HOMESTEAD PURPOSES~
CMILOREN IN SGHOOL~ PLEASE STATE I~EASE GHECKt
~ TNEIR NAMES:
I FiJBTHER CERTIFY that I will register at mr Mcal addres~ when the registration booka reopen: ~nd compiy with aU
other requiremtnts o[ a legal resident ot this State.
I FLIRTHE~ CEATIFY tl?at I have oo iatrntioa to retum to my tormer domicile. aad I iatend to remain ia
~ ST LuttE "
~ ~ ~ ~ . • , County.
ICit~) . .
Fbrida. permanenei~ .
G~
~Nl
c G, ~~=,ti~ i~°, r,v~s
C~i
~f ~~G
~ . i~ ~ ; I ~TLt S 1
S G .4x~t~ L-O~
'!'l~~ ~ 4 ~Nlfa~~ A
I~'f+~D NE 5~~~.=` OQ~~ ~L'N L ~V ~C ~!T ~a.~I ~~~~/t
C~f CCU!ITY . f~ (Addna)
Sworn to and su scribed bciore me this ____L.._..._ day ot ~'S ~
, ( . A.D.19~ F LEO AMO RECoRDED
S~.IUC+E cOUNTr f~~.
ROCER POITRAS
~'.~FK G?RCUIT CC
RO.~ER P01 TRAS, GI.ERK OF C IRCUI T COU2T „F~~~ _
ST. LUG I E COUNTY, f LOR 1 UA • ~laP l I 02 PM'~~
~ av: ~ ~ 3960~35
r" . EPUTY LERK .
, i' ~ .
- • ~ - go~~ 283 ~.85 . -
.
.t~~i ~
~
~ , _ . ~ .
- .
_ ; ~
~