HomeMy WebLinkAbout1621 ' 4a3st'fVV • ~ ~
Declaration of Domicile and Citizenship
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E OOUNTY. FLORIDA:
This b ~ declaration of Domicile sad Cltissaship in the State d Florida that I aa~ thb dq in aooordanos. and is
eoafarmity with Settion 8>*~.17. Florida Statutes.
I wu f
~ a legal resident at ~~o~!~+ f ~ ~ sad I
IQVI IBtstel
resided at However. I have changed my domidis to ; .
t86wt sad Nus+~l
sad am and have been a bona fide resident opt the State d Florida sines ~ ~ ~
-19? and I reside at ~ 3 ~ L--
(8trat ~ Nsbrl . _
F.,.t _ ST. lUG I E ~ County. Florida.
. cayl
and tlib statement b b be taken u nq declaration at eitiunship. actual legal. residence and domidb is the State at Florida.
If FOR THE PURPOSE Of ENROLLING If FOR HOMESTEAD PURPOSES,
CHII.OREN IN SCHOOL, PLEA-SE STATE PLEASE CHECKS
THEIR NAMESS- '
• FILED AND RECORDED r
ST. LUCIE COUNTY.-FLA.`
43463
_ '~9 FE8 19 AM IQ : 55
.
Ct_cRK CiRirl!!T CO!!RT _
I FURTHER CERTIFY that I wil! register u my local addreu when the registration books reopen. sad comply with aIl
other requirements d a legal resident d this State. .
I FURTHER CERTIFY I have no intention to return to former domiei'le. and I intend to remain is
U C 1 E County.
(City)
Florida, permanentl,•.
..~~=`~~ri.~N~i~~r~ ~
, _ f_
C O (J ''~ii~ '
ts.
•
• ~ • '
. j ~
~.%f~.•....••~
. .
Sworn to and subscribed before me this ~ ~ day ct 33 ~ l-,.~a~R-,--?
` -
~ o . A.D.19_ ~I
ROGER P01 TRAS. CLERK OF CIRCUIT COURT
ST. LUG 1 E COUNTY, f LOR 1 OA
BYs
EPUTY t.ERK 501~Nt~ ~~1g19
- - -
,r
_
r