HomeMy WebLinkAbout1501 . 434388 ~
Declaration of Domicile and Citizenship
To THE cLEluc OF THE CIRCUIT OOURT.
ST. lUC 1 E - COUNTY. FLORIDA: -
This h my deeLration d Danklle and Citizenship in tM State of Florida that I am ~ thb dy In aooordana. and io
oontonnitF with $sefioa 2?.5.17. P'Ioeids S,tat~utes. .
- I was i r a Iesal resident d ~ I
A~% S ~O~ _ e D ~ ~ ~ and I
. ~ tCM~I IfltaW
- However. I Iu?w changed ay? do:nidls to
resided st
l9treet cad Nrib~rl • _
and am and haw been a bona Sde resident d the State d Fbrida sins day d
n n o CEAw ~ ~-~~6~' 3/
o ~ M ~ iS~~
- and I reside at Z-'{~ n S o O C ~N ~ R 1 VE
- liltre~t sad lirabal
/ ~c~ - _ ST. LUG 1 E Connt~. Florids.
iCibl
and this statement is to be taken as my. decoration d dtizeaship. actual Iega1 residence and domkDe in the Stair d Florida.
Ii fOR THE PURPOSE OP ENROLt.ING IF i0R HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE Pt.EASE CHECKS
THEIR NAMES: '
F1LE0 AND RECORO~'~,,
S?. L~lCIE COUNT~f.`PCA._
434383
'79. FE8 19 ~ ~ : 4g
~
CLERK Cii~C:11T GJURt
books reopen, and eompllr with ali
I FURTHER CF.ItTIFY that I will register st m~ local address when the registration
other requirement d a legal resident d this State.
I FURTHER CERTIFSt that I have no intention to return tom former dorm and I intend to remain is
- Count.
t -
Florida. permanentl; : -
`~z;y~.a=rrrrir,,~,
, q.URl,,~
_ ~*rt:rrr~llt ' Q CE~~~~E #c !03
sworn to' 'nd subscribed betm+e me this ~ J dad d Z to 0 5 0 . QC ~/~il/ P R .
- A.D. lsa 79 R T P~ ~RCE , ~G/9. 3 3 51.0
R R A C ERK OF C IRCUI-T COI~tT
ST. LUCIE COUNTY, F tOA
8tr:
E Y L E R K s~Clc i1VV tA!'~~'4e~
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