HomeMy WebLinkAbout1674 Declaration of .Domicile and Citizenshi ~
P
TO THE CLERK OF THE CIRCUIT OOURT. "
- ST. LUC 1 E COUNTY. FLORIDA: •
This 4 my declaration of DonticDe and Cltisenship in the State o[ Florida that I am ~ tbia der in accordance. and Ln
eoniocmiy with Seetioa 228.1T. h7orid~ Statutes.
Iwasi~alegalresidentot Philadelphia. Pennsvlvan3 a - andl
(gUr1 18tatei
resided 12251 Medford Road • - However i have changed cop? domicils to
- t&twt tttd N~mDarl - .
and am and have been a bona 8ds resident oitbe State oiFlorida aiaoR November 3 s 1978 Third dyr et
November .19
7A
_ and I reside at 'L~,i..rC R ~,rr,h~.,o st .
l8tnat std Nttmbarl _
Port St. Lucite _ ST. IUGI-E Co~Imq,Fiodds.
~c~ -
and this s4tement L to bs taken as nqT declaration ~ dtisenship. actual legal residence and domieDe is the 3tite a[ Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,:
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK: ~xsnt'"1
THEIR NANESZ - ~•vr~
. - FILED AND RECORD~b
- ST. LUCIE~CQUNTY. FLA.' -
r-Q~0 VEEiIF'EQ
4~so2
• - 'T9 FE6 I9 PN 2:05
"
- CLERK CIftCUtT COUR1
I FUR11~B CERTIFY that I will register at mT loot] address when the registration books reopen, and complT with aD
other requirements ai tt legal resident ~ this State.
j _
f -
I FURTHER CERTIFY that I have no intention to return to mT former dotnict7e. and I intend to remain ~ in
J U C I E
. County.
• (Gk~l
Fbrida. permutend,,•.
~ G 711 ~ 1j~ii ~ ~
t Y• 1 ~ I a
_ . ~ - s I MANIJEL S. FIi7K
_ 'x'•.,'.~'~t':'!'=''
; = (Name)
• f' ' • ~ ` 1312 S.E. Mohave St
C J ~ - (Ad~twa
- Swam toand snbsrn'bed before me this day of Por^,_t St_ Luciej Florida 33452
ROC~R P01 TRAS. CLERK OF CIRCUIT COURT
ST.-LUCIE COUNTY, fLOR10A ~ - -
- BYs '
EPUTY LERK dOQK~3 PACE16~