HomeMy WebLinkAbout0581 Dectaration of Domic~le and Citizenship
413308
TO TtiE CLERK OF THE CIRCUIT COURT.
ST . L UC 1 E CQUNTY~ FLORIDA: ~
Thi~ is my declaration of Domlcile aad Citizcnship ia tho State ot Fbrida thel I am Ciling this dsy ia aceords~ce. and in
eontormity with Section 222.17. Florida Statute~.
~ -
I was tormerl a legal nsidcat o[ ` ~ I
~ ~ r~ IScat.1
resided at 1,~ ~ ' . How~ever. I heve eh~nged my domicik to
- (&rMt ~od Numb~r) ^ ~ ^
and am and have be~n a bona Cide re~ident o[ the State o[ Florids sinee 1\~~~~ P'~~, ~"o-~ dq °t ~
_ ~ ,19~.~. and I nside at ~ ~ ~ ~ ~-rSJ ~ ,
lst~t ~od
ST. LUG I E Count~. Florida, ,
~ ~ Ca~~ . .
and this statement is to be taken as my deetantion of eitizen~Wp. actual kgd reaidence and domieile ia the State ot Florida.
IF FOR THE PURPOSE OF ENROIIING IF FOR HOMESTEAO PURPOSES~•
CHILOREN IN SCHOOI~ PLERSC STATE PLEASE CHECK: ~
THEIR NANES: `
F LEO ~MO QECpROEO
S~. ~UCIE CQUNIY FLA.
aOCER PO~TAAS
"IERK CRRCUIT COUR ~
•rc~cflEa
. Auc I I 12 so PM'18
413308 - - -
I FURTIiER CERTIFY that I will register at my local address when the registrstion books reopen, and comply with all
; other requirements o[ a legal residenl of this State.
i
~ I FURTII CER FY that I have no intention to ret~m to my former domicile, and I iatend to remain in .
~ p , ST L U C i E _ County.
r- ~
ICitrl .
~ Florida, permanenti; .
~
~
F
~
~
~ ~,~c~e..,q~ ,
~ --~~OUfyj :
~ ; -~<<<~.~ y~ ?
~ ~ ; ••o~
~
~ U'•,t_ ~ ~:`o~ \ V ~
~ ~~~••.`•aaF~a?:= Q- ~ c) 1
~ ~!"~i F~'~ ~
~ ~~CUN
~Op~~ G lAddreu)
, ' ~
Sw•urn t~ and sub~cribc~i b~forc mc this day o[ _
~y ~
~
A.D. 19 / ~ ~
rt _ .
• _
s
~
RCGFF PGi ~FtASx___f,t_~RK Cl~' C IRCU1 T COt12T -
- - - - - -
~T . L l~ 1 f. COUNTY, F LO`21 i)A , -
~ OY:
~ E PUTY ,LERY. ~1 R P~ ~QA
~ 6U41c JOl
~ .
~
'
, :i
- - - - - -
~ . - ~
F _ w~~~ ~
~
~a".rn-- _ s .
~
~
~'z~'"~` ~ ~ ~ ~ ~ ' ? n r~~~
e.~'" z*yE~- ~ +~~~-w. t~ arr r'- - ~ ¢ r _
d~fas~~~~: L°.'~
rI~R~ -r
y~> ~n 5,a.,. ~
. Savk a..~~~, Y~.1. _ . . .