HomeMy WebLinkAbout2779 - 1QecawdMr f y, •
Declaration of Domicile end CitizensJhip .
. ~ 438838
TO THE CLERK OF THE CIRCUIT COURT.
~t . Lucie COUNTY. FLORIDA;
Thb is my declaration of Domicile and Cit~eaship to tM state of Florida the I am tiliaa tAia der is aooordaaee. and iA
conformity with Section 222.17. Florida Statutes. -
• I was formerly a kgal resident ot• ? Dover _ ~ he:r Jersey and I
ICU71 l8eai
resided at Dove r-Chester Road, Ira . Fern _ _ _ g~ I changed ny? domicile to
1&+wt asd Noa~Oed
and am and have been a boas tide resident of tbs state of Flosida since the ttyen ty -fifth ~y ~
- - - - - pi~~td r~st-de- -Pa2~~t~ -~Y parents ~ return to
~ IYovertb_ er X196_? ~~I,~ ~]Q U:iA ~rnL ly £a .1~er~s nvPrsc~aa_ H~Si~~gnt
18ts~et aid Naa~l
~t Port mot. Lucie 5t. Lucis ~nty~,
(CK~I -
aad this statement is to be taken as my declaration of dtizenship, actual legal reddeate and domia'le is the State of Fbrida.
residence status in St. Lucie County on behalf of the fa;uily ;ras previously
established by ray fat;yer, Alfred 1. Inte:aann, in the stu~J:~er of 170. The
Declaration of Doriicile and Citizenship aas filed and recorded by your
office nn 10 august 170 rind bears the nus:iber l~fi 87. A stalp alertd the
'.:ntto~: ease of t?tat declaration reads "OR 3ook 1~~, Fage 835."
'Phis declaration is being sub.-,fitted in my o~Yn nan3e since I have attained
~~~a~orit,T since my fatiler~s declaration eras filed, and since I ant interested
in F:stablishin^ rlorida residence in gay oFrn right and reafrirz~ing in-
tention of retair_inE; tiie residence held by ...e as a rtinor.
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I FURTHER CEP.TIFY 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.
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~ I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend. to remain in
~ ?ort at. Lucie _ Wit. Lucie ,County,
1 ICityl
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Florida. permanently.
~ F~LEO A,ti'0 aECORDEb`
_ ~ fr Ft . LA.
~j'•~ED
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AO
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~ eLERK CiRCL~IT COURT. v
~11?gme)
Jre--cry Inter:ann
- IName)
: c/o :~lfr-ed Inte.:.arn
(Addrea)
- C,.~R ,3ox ;36z
~ Sworn to end subscribed before me this ~ ~I1d- day of
k
- M ch ,A.D.is-79 - =~~0 :e:: for ~ ~~b33
y .i
Notary
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My Commission expi ~ ~
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