HomeMy WebLinkAbout0420 Q~cl~rat~on of [~om~cile and Ci~i~~nship
~ 4;~'~69
TO Tli~ GL~:ltK Ob' TNF. CIRCUIT COURT,
_ ST. LIJC 1 E COUNTY. F[.ORiDA:
This i~ my declaration ot Uomtsile And Citizonship in tho Stats o[ Florida that I am Cding this day i~ aecordance. snd in
eonformity with Section ~.17. Florida Staiutes.
I rru form~rlr a leaal cesident oI 1_1(YIC2 Yl-~~_ U~C1 ~ aAd I
ICitr~ ' l tat~l
reaidcd at . Howave~. I have chaaged my domicile to
IStrwt ~nd NumAK) ~
and am ~nd have been a bona Gde rnsident ot the State ot F
lorida aince 0~~ r r- _ day ot
r-} .19~.. and 1 resido at O~, WQ ~ 1~ r~~ Q ~--1 U D
~ (Ste~t ~,d N~meu)
. 1~' n r p( p Y- C? ~ , ST . L UC I E County. Florida.
-f--~~ -
1(~tr!
and this statcment is to be taken as my deetaration ot eitizenafiip. actual legal resideneo and domicile in the State ot Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR NOMFSTEAD PURPOSES~
Lt!!L[?4El: ~z~OOl.~ PIEASE STATE PLEASE C_HECK2 ~
THEIR NAt~ES: ~
~
~ ' ~ ~
~ n v
F~tEO~l.zlD RECORD~ A.,
- . , ,t~~c ~OU~
F,~ J.
. : -~`~~y
'78 NOV I Z PM ~2 ~ 32
.
CLEF:K'~%.`~~~''~ :.:r~~-t ~
I FURTIiF.R CERTIFY that I will registcr at my local addrcss when the rcgistntion books reopen, and comply with al!
~ other requirements oE a legal resident of this Stste.
~ I FURTHF.:2 CF.RTIFI thtt I have no intc•ntion to r~turn to m fornier domicile. and I intend to remain in -
_ u c ~ e , cou~ty.
~c~tr?
j Ftorida, E?ernianenti;.
~
~
i
~
~
~ ~ouNr~
~ ` ~_a{ c~G .
`
s U ` p -
~ ~ `
~ },1~
~ ~ ? S~},v~~?9 /°~o~?
~ , ~ - ~
~ ~ "~':.~x~-=~ i
~ ~ . ' I~~mel
e ~
i
F ~ ~ (Addtes~) ~ -
' Sv?~ora to antt subacril?rd t?e(ure me lhis day of ` ~ ? L- ~
~ • ~
; _ _T~i , , ~9. 7 8 • _
~ ROGER_PU I TRA~CLEF?K OF C IRCUI T COl~2T
; ~
~ ~
~ ST. LIJC I COUNTY, F~OR i UA ~
~ , . - 1
~ ,
~ BY: .
~ PUTY LE ~
r .
• • aoc~ f ~ ~
~ ~
~ . nco E•~.?~:, ~
~ "i~-r.3~„ • ~a'ss.sr.:~::cJl~ ~.~-(~1is.rss.w.+.z.i.i.ere~~a_~ ~
~-"a-~~' a ~ - ~s
"zar~- s`~.
~ ~a
r~*
. . . _ _ d _ ~ . ".;'i . -