HomeMy WebLinkAbout1560 V(;~+Ei~i~djl~i 1 VI V111 ~ 11~.11~"i a~ v~ a~L~.
• ~ 4;313658
TO 7'IIE C[,>•;RK OF TiiE CIRCUIT COURT.
ST . L UC I E COUNTY, FLORIDA:
This Is my declaration of Domicilo and Citizenship in the State of }'lorida that I am tiling this day in aaordanee, and in
conformity with Section 2'12.17, Florida Statutes.
I was tormcr~ a Icgal resident of _ •,p ~ ~ ~ ' ~ " and I
ICityl lStats)
resided at ~ ~ . Howover, I have changed my domicile to
(Street and Number)
and am-and have been a bona Cde resident of the Stale of Florida since ~ day of
_t' . ~ -193,... and 1 reside at ~ S ~ ~ ~ ~ - i
l8troet aad Number)
Cl _ ST. LUG 1 E County. Florida,
tat~l
and this statement is to be taken as my declaration of Citizenship, actual legal resideneo and domicile in the Slate of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOS S,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
~
4:3C 658
~
~1.._.;~ _
I FURTHER CERTIFY that I will register at my local address x•hen the registration books reopen. and comply with all
other requirements of s legal resident of this State.
i
I FURTHF.;t CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
~ U C 1 E ,County.
tatrl
Florida, permanen~i; .
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s
~ coUNr`
_
V~,aK ~SC~G
~
CiF COUIIT'(•~~
~ n c~-~
i
s, (Addrew)
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Sworn to and sat?scrihed before me this .___.L~ day of t ' F' ~ ~ c -
A.n.19_ 7 /
s~
ROGER I TRAS, GLE OF G IRGUI T COURT ~
~ ST. LUGIE COUNTY, FLORIDA ~ -
BY:
EP Y LERK
. ~1 F~~~1555
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Q i;
i ACn F'ons~ 71 .'r.'
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