HomeMy WebLinkAbout0302
. ~f ~~micila and Citizensn~p i
. ' • • 414954 ~
. - . ~
. • _
• TO TltE CI.EBK OF TNE CIRCUIT COURT. . ~ ~
• ' .
~
• ST. LUG 1 E CpUDrrY. FI,ORIDA: .
Tliia b my declar~tton ot Domici~e snd Citisen~hip In the State ot Fbrida that I am fiUn~ thts day in aecordaace. snd in
coato~mity witb Sectioa 222.17. Flocid: Statut~a.
t wu lorm~~l s kga! re~ldent ot ~ ~ ~Ad i
~ ~ / A / . ~ IStat~~
nsided at l
r,.~ l ll /~ijL~ " L~. _ It~~g~~r. ~ lsar~ thangtd mY ~micile to •
(StrNt wd I~(wobetl
and am and Aavc beea a boaa Gde nsident of the State ot Florida since ~ S r day ot
~ 19 and I nsidc at ~f' y ~~r4 >i. ~il~ 1 t%~=~'
_ lStt~.l aed NYmDu)
- T ST. Ll1G I E Couatr. Ftoria,.
tt~>>
u?d this statemeat i~ to De Wcea ss my declaration ot cilizen~hip. ~ctual legal residence and domicile in the State oi Ftorida.
Ii POR THE PURPOSE OF ENROlLIN6 IF fOR HOMEStEAD PURPOSES~
CHILOREN IN SCHOOL~ PLEASE STATE PLEASE CNECK: -
• TNE 1 ANES_:
, ?
fIlEO AMQ QECORDE~
ST. ~df~E C011iT1~ flA.
~IOGER POtTR~S
Gi Fax C~CU~T C Ua
• . •.,~_S I~IiD
- ~ Auc 15 11 sa AK'T8
~ ' ~43.4954 '
I FURTIIER CFRTIFY that I w~l register si my local addnss when the registration books teopea. and comply with all
other requircmcnts ot s Icgal resident ot this Statc. _ '
I FUFtT}IE~ F}iTIFY,.~hat I have no intention to return to my former domicile. and 1 intend to remain ia
• ~i'T ~-<<!'~'~" , ST luciE - .Co~ncy.
Florida. permancnti~ .
• . ' C{~C~/J
~ a ~t~A
_ ~ C-9~'j ? ~ / _ ~ .f 7 _ -
f ';tC%i-' ~ j 7
. ~ ~ -,~.'~~'',~?i`/` ~ / / ' ( c
~ ' / ~ / L~~1i'
~ ` ,
~s - ~ _SS
~ ` tr~..t- ~
r „ ' l
"~?w:o.`: ~~G- ~ ,~,~Lv~iL' /c-- ,?i
(Addtra+l
Sworn to nnd subscrih~d betore me this ~ day o~ "
s . A.D.19..7 ~
ROGER POtTRAS. CLERK OF ClRCU17 COU2T
ST. Lt1G 1 E COUNTY, F~Ok 1 UA • -
~ B,r z ~ • .
~
~ , EPU7Y LERK ,
~ .
.
BUUR27J FAGE
AGn Forr+, ~1-^.3 .
.Y- i-
. . _ _",r/~ ,i~. . ~_~~~r-w~.~ _-~.Y..__.._
. _ . " . - ~ - ~
, ~ - ~ X
~~..SY~ ~~.~F~?'.e~aRY°r..t`-Y~'i = ~
~ _ :y. Yti`t..~x»x