HomeMy WebLinkAbout2212 4~ `
Declar tion of Domi i
a c le and Citizenship
TO THE CLERK OF TAE CIRCUIT COURT. .
- ST. LUG 1 E OOUNTY. FiARIDAa ~ _ -
Thb b aq? declaration d Domiells and Cttbepsbip m the State of Florida that I aa~ ~i Ibis daF b aeooedana. and b
eoatamit, with 8eetioa X8.17. Florida 8tatut~as.
,
I was i a legal resident at and I
- lClf,~ Istetel
resided d ~ ~ . I haw ebasged m~ dwaeidM to
(~~wt ssd Nw>ter! .
and amand haw been a boas Rderesident at the State d Florida sbne dy al
18.~ and I reside at ~
. ~ iBtrNtadN~luel
ST. lUG I E ~
lo~l
and thin statement i+s to be taken a: mpr deelaratio~n o[ dti:enehip, actual bgal residence and do~mkib b the State d Florida.
IF FOR .THE PURPOSE. Of ENROl1.INQ IF FOR HOMESTEAD PURPOSES,
CHit.DREN IN SCH00-L, Pt.EASE STATE- PLEASE CHECK!
TH IR NAMESS
F:~.ED nrsD RECORDED'
~;;rtE~ COUNTY, FLA.'
~~i-;;? art FIFiEO
434851
'~9 FE6 22 AN i 1:15
Y
- - CLERK C{RrI,~IT i CURT
I FvRTHER CERTIFY that I wi11 register at a~ local address when the registration books reopen and oompl~ with all
other regniremeMs of a legal resident of this State.
I F~JR17iER CERTIFY that I haw no btentioe to return to former domidle. and I intend to remain b
u 1 E - ~ Couatj.
I tQU1
Florida' permanet~ .
~ -
-.ri._- . _ ~V 1
~,~eE~.~t~~~riri~~ii
i0.. , +4-Is .f s';~ 1: ' ~ ,1~. ~
t - _ ed before me this dad of
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' e , A.D.1~ ~9
~ ROGER P01 TRAS. CLERK OF C 1 RCU I T COURT
~ - -
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ST. ~ E COUNTY, f t_OR 1 OA
- BYS -
EPUTY JERK UR !
E boox~3 f~r~~~
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