HomeMy WebLinkAbout2344 ~
432980
TO Tula CLERK OI' TI IE CUlCU1T COURT.
_ ST ~ LUG 1 E COUNTY. FI.OItIDA:
This is my declaration of Domicile and Citizenship in the Stato o[ Florida that I am fiUng this day in accordance, and in
con[ormity with Section x.19, Faorida Statutes. / ~
C~l • and I
I was tormerl a legal resident of
Cityl (State) !
resided at ~~.5~-~~ ~ ' . however. I have changed my domicile to
l8inst and Nwa 1 ~ ~ N~ ~ i
and am and have beoA a bona tide resident of the State of Florida since of
,19~. and I reside at ~ ' ' : ~ ~.S ) ~
(Street sad Nu~aberl
~jr,•~ L~I.~C,I ~ ST. LUG 1 E County. Florida,
tt~trl
and this alatemeat is to be taken a, my decisralion of citizenship, actual legal residence and domicile in the State of Florida.
• IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN !N SCHOOL, PLEASE STATE PLEASE CY.ECK:
THEIR NAMES: -
~11 tt ~ ,,~1L.N ~u hc:
• ~ FILED AND`RECORDEO;,
- r • • ~r~c. e. ~t_• C ~dlP ~ ~'-J-~ ST. LUCIE COUNTY: F~:A:~
c;~COR[) VERIFIEQ
. 4. 32950 .
• 'T9 FEB S ~ l i : g~ ~ .
. #1O~lE~ ~OlTR~`.:
• CLERK CIRCUIT COURT,
1 FURTHER CERTIFY that I wiU register al my Local address when the registration books reopen, and comply with all
other requirements of a legs! resident of thi4 State.
I F'URT}iER CERTIFY that I have no intention to return to my forrm~er do~i~ile. and I intend to remain in
i 5 ~ ~ ~ . County.
• ICit~l
Florida, pcrmancn~i; .
° R•~.-~ ' ~~i~`: ~ iii. '
^ _ -
_ - z
s~ t
• ~ / lAd nee}
i Sworn to and sub4cribed before me this v day of -S/• 1! C ~ E . ~ ~,r
E
3
_ -
ROGER PO i TRAS, CLERIC OF ~ C 1 RCU I T COURT
ST. LUCIE COUNTY, FL tUA
BY:
' kPUi Y LE121i
~ooK3tl2 ~a~~2344
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