HomeMy WebLinkAbout2861 Declaration of Domicile and Citizenship
X35280
TO THE CLERK OF THE CIRCUIT COURT.
ST. Luc 1 E CovrrrY. FIAItIDA: -
This is my declaration of Domidk and Citisenship in the State of Florida that I am 6lins thb day in accordance. and in ;
conformity with Section 222.17. Florida Statutes. ~
I was former a legal resident of and I
~ ~ icily) 18th ~
resided at cl ~9-i. 1~ . However. I have ebanged my domicile to t
IStrst aad NembW
and am and have been a bona fide resident of the State of Floridasince - o~ ~ ~ \daT ~
~y
~n }j, .1p,=1.~. and I reside st a ! Q ~ u ~ ~ ~ , _
(Stewt aad Nambrl
_ ~ . ~ ~ t ; ~ S T . L UG I E County. Florida.
ICI
and this statement is to be taken as my declaration of dtisenship. actual legal residence and domicile in the State a[ Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NANESS ~ ~ ;
Q~ ~ FILED AND RECORDEb~
t_UC?E BOUNTY. FLA.
_ ~ _ 435280
'~9 FEB 26 PN I :22
- 9~
CLERK CIRCUI r COURT '
I FURTHER CERTIFY that I wfil register at my local address when the registration books reopen. and oompb? with s]1 t
other requirements of a legal resident of this State. =
I FURTHER CER that I ve nQ intention to return tom former domicile, and I intend to remain in
U C 1 E _ County.
j
IGtit~) j
Florida. permanentl;.
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Sworn to and subacr~ibed before me this ~ ~ _ day of
~ . A.D.19_ ~ /
ROGER P01 TRAS, CLERK OF CIRCUIT COURT
ST. L COUNTY, fLORtU
BY:
U
EPUTY LERK -
3aoK ~~~:~2857
AGn Farm 72 22
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