HomeMy WebLinkAbout0822 ~ ~ . ~ . . .
~Declaration af DamicE~e ~r~d C~t~r~nsh~p
. -
TO TIiE CI.E[tK OF THE: CIRCUiT COURT. 4~~Q~ ~
ST. LUC t E COUi~ITY, FI,pRIDA:
This is my dectuation of Domicilo eu~d Cittr~en~htp ia the State ot Fbridi thst I un Cding this day it~ aocordance. and in
coaformity with Section 222.17~ Florida Statutes.
I wu formerlr a legal tesident ot OC liv'a S/ , /~1/, f• ~ I.
~ ~ ~C+ rl ts~aai
resided al B~ S nre Nowever. I tuve chsnged my domicile to
- (Streat ~ad Numb+d
and am and have been a bona rde reaideat o! the State of Florida since / r ds~? ot
~ -
- ,1s~_. a~,a Y restae at z/ 3 3 S.~ • t~rt~~p ,
. ~ ~s~..e ~n.~?
~ r~ ,Z' ~uci ~ ST. Ll1C I E Co~nc~. Ftorida,
- ca~,~
and this statement is to be taken as my declaration ot citizenship. actual legal reaidenee and domieile ia the State of F~orids. ~
IP FOR THE PURPOSE OP ENROILlNG IF FOR HOMESTE~Ap PURPOSES~
_ CHILOREN IN SCNOOI~ PLEASE STATE PLEASE CNECK2 ,~r'` .
TNEIR NANES:
. 3T. LUCIE COlfNTY FtA.
ROCER ROITIIAS
CLERlt CtRCUIT COUfi
?rr~an ypa,tFlEp
_ . Mnr 18 t0 ay AN'78
~ . .
~ . ~U.4010 ~ .
I FIJRTIiER CERTIFY that I will register at my ioaal address when ihe registntion lwoks reopen, and comply with all
other requirements ot a legal resident of this State. ~
I FURTHE~ CERT~Y that I h ve no intention to return to my former domicile. and I intend to rema;n in
_ ' S ~ ,~uCi -t , _ $T . L U C 1 E ~ County.
(Cit~1 . -
Florida. permanenii;. ~
" ~~ei/Y~ard-~
~ COUNr~ _
J
. `~j~J ~~~~~ti
GJ~ ~ ~ ~ .
{G ~ f~
'9~ ~t . :zy T j
~<%F~~,,,~::•o~•~~ _ z~-33 ~ -L ~iusy?~ ~i~
F ~DUMIY. F~. . ~Nune)
~ _ o S' T- G~~i
~t 1~~~ 33~5`~
(~aa~,~-
i
Sworn to and subscribpd bciorc mc this dsy of . ~
~ . A.D.19. 7 8
ROGER P01 TRAS, Ct.ERK OF C lRCUI T GOURT
ST~ LUL i E GOUNIY, FlOR t A ~
BY: ~ .
. EPUTY L~RK bOI~~V~ F'aCt. 8~V
~ •
,k.~._.. ~ _ ~
~x~: ~