HomeMy WebLinkAbout2957 Declaration of Domicile and Citizenshi
TO THE CLERK OF THE CIRCUIT COURT. 4a38 '
ST. LUC i E COUNTY. FLORIDA: -
This is my declaration of Domkils sad Citbewhip in the State oi? Florida that I atn filing this dq in aocordanae. and In
conformity with Seetioq 222.19. Florida StatuMea.
~ _ .
I was former a legal resident of ~i o ,~'e ,t /r/~ . ~ sad I
_ lClyl (Statel
resided at e u . Aowever, I have changed nglr domic9e to {
(Stied and Nnober)
and am and have been a bona fide resident of the State at F'Mrida since ~ c_~l'-lS het' 3 _ day of ~ ~ .
19 S ~ - and I reside at
t8trid aad Namberl
~T
~j ~cP ~ ST. LUG I E County. Florida.
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and this statement is to be takes as my declaration of citisenship. actual legal residence and domicile in the : `r. of Florida. ~ Y
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IF FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD IRPOSES,
CNIIOREN IN SCHOOL, Pt.EASE STATE PLEASE CHECK: ~ !a
THEIR NAMES: ~ l
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~tLED AND RECORDED=
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f EB 26 PM j+ : 09
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I FURTHER CERTIFY that I wt11 register at my local address when the registration cooks reopen, and comply with all
other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that I have no intention to return to my former domiede. and I intend to remain in
JT. IUCIE
County.
Florida. permanentl;. s
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Ij _ ' ' _ C:T r 1
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Sworn to and subsen'bed before me this ~ day of
,A.D.19_ 71 3
R4C,ER P01 TRAS, CLERK OF CIRCUIT COURT
ST. L IE COUNTY, FLORIDA
BY: ~~rnc
EPUTY LERK OR
poor 3t13 ~c~z9
- ARO Form ?1 22