HomeMy WebLinkAbout0092 . . . . . ~ ~i
Deciarat~on of Dom~cile and C~tizensh~p
~ ~1849~
T01'ttE CL~RK 0~ THE CiRCU1T COURT.
ST. Lt1C I E CpuNTy~ FLORIUA:
This ts my deci~ratio~ ot Domicila and Citiaenship in the State o! Florida that I am t'~ling tbis day in aaordance. and in
con(ormity with Scction 22'3.1?. Fbrida Siatutes.
1 wu tormerly a Icgn) resident o! ./~/L u~ and 1
. n ICityl . lStatsl
residcd at /~1 ~i /~~P~ ivi n ni T!/iP . , However. I have chanqed my domicite to
csc~c.8a N~~,eK~ ~ j
and am and have becn a b~,na lide resident of the State o[ Florida since ~ dap of
C J
~g~f Pw~ ~irP 19~„~apdIresideat 1~~.~ CQ M,,~R~G~9~. i U'
(Street and 23umbes
LS T L sT. LUG i E cou~~,. F~o:;a8.
«tr? ~
and this statement is to be taken ~.S my declaration of citizenship, actual legal residenee r.nd domicile in the State ot Floride.
If fOR THE PURPOSC OF CNROLLING Ii' FOR HOH£STEAD PURPOSES~
CHttDREt+ It~ SCNOOt~ P~EAS£ STATE P~CASE CHECK: J
THEIR MAt~ES: • j
~Filit~DAMNO'f~FiQUIt~ .
'~f."WlCtE ~DUMTA' ~17~. ~
RGCi:a nJ?T.~i?S '
~ ' -..;UI* CJU
~ SEP Z8 2 I3 ~'~8
I FURT1iF.R CN:ItTIFY that 1 will rcgister at my locnl address when the re~tration books reopen, and comply «•ith ail
othcr r~ryuirements ot a Ic~al resident ot this State. ~
. ~
I FIIRTfiF::t ('F:it'['[Fl' th~t I hav~ no intrntinn to return to m,~.,[.o.r~m,er dott~ici}e, and I iotend to ren?aer? in ~
" , JT. LUCIE ~
ICity) . . County, ,
Florida, pcrm:.nrnti,. _
~
GdVNTY Cp ~
~
~
. ~~4" G9~ , ~ ~
~ ~ ~ ~ ~ ~
v • ~~~-~M 60D'Mti't''~Jy tO~ ~
~ ~ UCI • COV~iy D~e.~ ~
~,L ~'v :
E
(Nane) ~
r
(Addl~t~s) r
Sw•orn ta and suh~crib~•d b~[ore me this _t;~ d~y of
. A.n. 8 ;
,
ROGER POi TRAS„ CLERK OF C IRGUt T COt~'tT . ~ ~
s
ST. L UC ! E COUNTY, f LOR 1 UA -
BY: .
EPU?Y LERK
~ ' ~
- . ~t1{1t( (.~V !'AI%~
t
,
~ - - ~ r.~,~ _
'S.~ M`ks . ry.. ~ . - _ ' ~ _ . ~~?'~.f~ ~ . SY+C_: .
Pq,s,~ F+4^'''.?sP~ F' _A_ 'c~~.^~J` .
.~a ~s,,".E~.rt..'~~`~,~~e~~,--ti -
~g'~~A,. F 'l _
r r