HomeMy WebLinkAbout1842 ~ ~r
Declarat~an of ®~m~c~t~ and C~t~a~ ~ c{
~438~'7 .
TO T11E CLERK OF THE CIRCUIT COURT.
ST. L UG I E COUNTY, FLORIDA:
This V my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.17, Florida Statutes.
I was formers a legal resident of ~S ~ r~ ~ and I
layl Ist.tel
resided at lZ S' !2 h . Howover. I have ehaaged my domicile to
(Strut and NumQerl
and am and have been a bona tide resident of the State of Florida since day of
2cy 19 and I reside at ~ ~ 6` ~4Z'~
~~T ~ (3trset sad Nu )
f.~j - u _ _ ST . LUG 1 E County. Florida,
Ipt~l
and this alatemeat is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
IF. FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
' CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
£D Aviv ri£CORGEt7
43828'7
'79 c~~ 23 AM ~ : 45
rC~~•'.R ~V''<<• v
CLERK ~1RLi1tT ~DUR7
I
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with aU
! ocher requirements oI a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to mr former domicile. and I intend to remain in
c, U C I E County.
g tCit~l
F Florida, permaneoti;.
1
s
vJ\~
& COUN~~
,
;o
epUN1Y. FL~P\~P i/~~
~ _ (N
w: ~
_ IA/ddrea) ,
~w~orn to and subscribed before me this ~ day of sj G u~ ~ ~l~'~~~f G!
Gi2~ , A.D.19_
79
ROGER POI TRAS, CLERK OF CIRCUIT COURT
•
~ ST. LUGIE COUNTY, F~ORiUA
BY:
~ EPUTY IERK
U~
305 ~~,.F1839
~o~..
r.~