HomeMy WebLinkAbout1209 s .
eclaration of Domicile and Cititenshi ~ '
D p
43'7912
TO THE CLE[tK OF THE CIRCUIT COURT.
ST. LUG I E COUNTY, FLORIDA:
This u my declaration of Domicile and Citizenship in the State of Florida that I am tiling this day to accordance. and in
coatormity with Section 222.17, Florida Statutes.
I was tormerl a legal resident of East I s 1; p "c t~1 ~{ork ~ I
_ ICitTI ~ lam)
resided at 50 Greenwood Ave . - . HoMOVer, I have changed my domicile to
(Street and Number)
and am and have been a bona tide resident of the State of Florida since 12 t it day of
arch _ lg 79_ aadI reside at 125 Imperial i~Jay
(Strwt aad Number)
Fort Picrce ST. LUG 1 E County, Florida,
lgt~1
and this statement is to be taken as my declaration of eitisenship, actual legal residence and domicile in the State of Florida.
IF.FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSESr
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMESi
Ann Margaret I*.eenan
• tVilliam John. Heenan ~ -COr<C~C
- 43'7912
''9 G°. ~ Zn 4 , .
P~1 - . 25
I FURTHER CERTIFY that I will register at my local address when the registration books 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 domicile, and I intend to remain in
U C 1 E .County.
i
lCit~l
t
Florida. permanen~i; .
S
- / ~/ice V V
ti ~ .L
• t'
~ -r
~:athlcen J. °ritting
a
(Name)
- 125 Imperial ~'ay
~ ~ Fort pierce, Fla. 33450
s Sworn to and subscribed before me this d`ay of
ROGER POi AS CLERK OF CIRCUIT COURT
ST. UG I E COUNTY, f I.OR i UA
a
A -
BY:
EPUTY LERK
f \ J1 Wv : ~L(~V •
- , . ACO Form 71 'l.'.
~ A
Y ?3