HomeMy WebLinkAbout0666 ' Deci~ration of Domicil~ and Citizenship
. ~ ,
. ~ ~ • ,
- ,t
,
;
TO'rHE CLERK OF THE CIRCUIT COURT.
I±
_ ST. LUC t E ~p~y~ ~,p~DA:
a .t
'1'!~b b ~nq deelaration of Oomkil~ tad Citiscnship in th~ Stat~ oI Florida tbat I ua Wta~ this day in acaocdaaa. and In :
eoatocanity with Sattioa 2~.1T. E'lorida Statutes.
I wat tormerl a k~al resideAt ot R A K P r1 ~~t 1e d l~ ~ ~ V(` and I
~ '
• IClU?1 laest~ '
re~idtd at ~ ts a - Ko~w~wt. I haw ehangsd mr do:nieile to
la~.a.aa N~e..f ! ~ 1 /91e C~ {n ZZ .c: d~~ ~ '
~ad ata and bave beea a boaa fide resideot o~ the State ot Florida siae~
18_~
b and I realde at ~ ~ ~ ~ ~ ~P W ~B ~C~c . `
~~cZr. ,~l'~, ST. lUG 1 Es~..c..ar~e.r~ ~
c~ountr. Flw;aa.
lpt~l -
aud thts statemcnt is to be taken aa my daclaratioa ot atiunal?ip. adual legs! residence aad domicle ia tha S4te oi Fbrida.
Ii FOR THE PURP~SE Of ENROILINC If i0R HOMESTEAD PURPOSES~
CNIIOREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~
THEIR NAMES: -
- ~ `i .
~~~1n ~a ~jf~'S .
f LEO AMO RE~~ f`R.
' t,~1C1E C01f -
ROGER PO~TRAS
cr~~, ~~CiflT CCUP~
. :c ~ +FIE:t
. Mti~ 29 i? i~ PN'1P
, , .
- 3~8~ -
1 F'tJKTHER CERTIFY that I w~l register at m~ local addresa ~vbea the registratioa books reopen. uid ~mply ~vith all
other requiremenu ot s lega! resident of this State.
;t CERT~FY tha~ I have ao intention to retnrn to mJ? former doraicile. and I intend to remaia in
_~7~ 1~ S'f' . C_4c C~ $T . L v C f E County.
IGt~) . ,
Fbrida. permanenci; .
~~~puNFycp ~
U:r~ = ~ - ? l~-~..~' '
.
. ~ ~4' l ~ O S CJ ~-t" .
'`!s , ~°?:';a
''cu.~~~ ~ tN ~
. ~Addr~s~1
Sworn to and subxribed beforo me thia _~9 day ot
, - N A.D.19
~
ROGER PO! TRAS, CLERK OF C IRCUI T COU2T
ST. L UG 1 E COUNTY, f LOR i UA •
BYt 0 R Q .
f P u r Y l E R K BORK ~C74 ~A~E 6~
: .
~ • .
~
~ . - - A r ~ s - ,
~ - ~ ~ ~ 4.~~_l,_,.
~ _ - -