HomeMy WebLinkAbout0720 D~claratia~n af QQmi~ite a~d Cjtizenst~ip
_ ~ 41'~053 ~ _
TO THE CLERK OF TlIE CIRCUIT COURT.
ST. Ll1G 1 E ~p~y ~,0
. ~QA•
This Is my declaration ot Domicile and CitiaeASAip ia the 5tate ot Fiorids that I am Gliag thi~ day ia accordnnce. and in
conformity witA Section 2~1.1T, Florida Statutes.
I~ru tormcrly s legal reaident of L~ G' ' , i7 art~ I
ICitrl lStatsl
~ L LJ ~ L.~ :f ?1,~ 1 tJ ~ . However. I have changed my domicite to
resided at f ,1~Q' _,.~.~5,~, ,
IStreet aod Num'Oer) •
and am and hsve becn a bona Cde resident ot the Stste ot Florida since ~ L day ot
.19~. aad I reside at `~r.S~^~.l~ M1~`~~ ~ C_ ~ l ~
~ ISti+at and Number)
P, ~ 5`~ ~ ll ~'.1 ~ , S T. l UC I E County. Florida.
and this statement is to be taken u my dectantion of citizen~hip. actual lega?1 residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOHESTEA~ PURPOSES~
CHILDREN IN SCHOOL~ PLEASE STATE PLEASE CHECK: ~
THE IR NAHES:
i-
. FILEO 4N6 RECUR~EO `
ST. WCIE C9UNTY F~A
ROG~F P~:TRAS ~
fl.~PR f'?CUi? CCURT
-r^ . ~,rn
~ SEP I~I 12 i s PN 8
i 41'7053
, -
~
~
~
~
~ ~ I FURTHER Ci~:RTIFY that I v+•ill regisLer at my local address when the registration books reopen, and comply with all
~ other requirements ot a legal resident of this State.
f
~ I FURTHE3 Cl~:RT1FY thxt I have no intrntion to return to my tocmer domicile, and I. intend to mmain in
T. _ U C 1 E ~ County.
~ tCity) .
~
~ F lorida, pcrmanenti, . -
i
c
a
9 `
~
~ ~ ~~OUNT ~
~ \,trf,•••i~:a;.. YC
r V ! • O7D .
~ v; b '
~ ~r~~/~. C~~ MEw'~4~`OQOP . , ~
~ ~E~oUN~r.E ~ ~ ~ ~ h ~ e ~
° ~rr,~~,
~ ~-(~v <'i4l'~l i Na ~ ~ ~ ~ ~
(Addreas)
; Cx•~rn tn and culyscriFx~d t?e(ore me this ~ day o[ ~T C-. v e i~ 3~ ~s v
A.ll. 19. 7 ~
a
ROGER ~~I Tr.a~,__CLEr~<_gr C IRCUI T COI.rZT
~ - - - - -
S1'. l_UC i E COUNTY, . O'c i UA ~ ~
~R BY: '
i '
;i 1E P U T Y L£ f: R b OK ~rVZ ~AGE t
~ i.
~ • ' s
:
i_
r: ~~i:i) ~ uren il ~ =
1.
r~
- . . ~ - -r~r:~~--" .r_ ~ - - ~ - - - - - - ~ -
, ; . ; % ,
~,s.~`^~.;~~~~~~ . .v-r .a ~..-s~.=.=.^'..~'''~d`~c.~~