HomeMy WebLinkAbout0713 !
Dectaration of Domicile and Citizenship f
. ~
. 4~.8~36 ~
;
~ I.
TO 7'NE CI.ERlC OF TNE CIRCUIT COURT. i
ST . L UC 1 E COUrrrY, F[AR~nA: . .
This is mr deelaration ot Doraicik and Citiiet~.ship ia the Stste ot Florida that I am [ilirtg this day ia ~ccordanoe. and in
eontormity vrith Seetiun 222.1T. Florid~ Statutes.
.
I was formcrilr a kg~l resident oi ~~e~~ ~ u~d I
~,,s. lCitr} lStatel
r+esidcd at 8~ __~-~'1 . However. I have chaaged my domieile to
(Street ~d NumO.r) -
aad ara and liuvo been a bona fide resident oi the State of Florida sinco ~ l~l'~ day ot
~d7/'G~ .19 and I reside at J~~~~L ~o~~ G'~~ ~ l 9 B
( / (Stre~t aad Numberl
ST. LUC I E' County. Florida,
.
~a~>>
and this statement is to be taken as my declaratioa o! citizenship. actual legal residence and domicile in the State of Florids.
. ~
I F FOR THE PUF'POSE 0~ ENROII 1 NG ~ I F FOR HOHESTE/l~ PURPOSES~
CHIIDREN IN SCNOOI~ PLEASE STATE PLEASE GftECK: :
THEIR NAMES: ~
~
~ _ ;
~ - FILEO AN4 ftEGORDEO F
ST.lUC1E COUMTY FIA. . ~
pa;=~ ?OITR?5 r
F«t. "'?:tfl~ ~R
~c •
~CT ;I. ~2 Sl PN
418836 ~
F
~
}
I FURT1tF.R CER1'lFY that I will register at my local addrrss when the registratio~ books reopen. aad comply with all ~
other requirements of a legal resident of this State. . ~
I FURTf1E~ CF.RTIFY that I have no intc ntean to mturn to m formcr dot*micile. and I intend to cemain in
L U C t E , County. ~ t
(Cit~) . ~
. ;
Fiorida, permanenti;. €
i
~
v~,~ Co~ a. } e s k? e-
~r~,~ i~ y'~}~ .
uGtt~ ~~Cj
-_o :
. ~ ~'ii. i~~ ~
~a--~=-?-. • ~ . •
t ' ' ~ ~ ~
{N~lAl~
lGC~F ~CUNTYvf~OQ\
~~~•i~'`'-_~.-r~cl~a- 9/ ~ L~
. ~ a t
Swoen to and subscritred t?etore me this day ot lC?.~~ J 3~•s ~
C~ C~a..~...a.~.: , n.n. i9. 8 ~
. .
ROGER f'O i TRAS, CL~RK OF C I RCU I T COU2T
ST. Ll1G~ E COUNTY, F~OR i UA ~
.
BYs . ~
: EPUTY LERK a~~ ~
. . .
- fj
r1~;ns .
°f Y a. r
~Y~ Y~~`~'~'~:.~c~Ar ~
~1~2 .A~'3Y~3!':'~` . ~+t~:~ _ _ _ - . ~
~ q ~g> .
~ ,'y f`~~~; :~:.4.
_~5,-,