HomeMy WebLinkAbout0757 ~ ~ ~ . . .
~ • 4 ~t
De~laration of Domic~le and Citiz~nshi~ y.''
43~~5 .
TO THE CLEItK OF TNE CIRCUIT COURT. '
ST. LUC 1 E Cpl1NTY~ FLORIDA: F
This b my deelaration oI Domicile ~nd Citizenahip io the State ot Florida that 1 am i'li ing t day ia aecordance. and in
contormity with Section 222.17, Florida ta utes.
I was formerl • k al resident oi ~~I
nL ~ ~"d ~
ICk71 ~ (Sut~
.
resided at • . Ho~rever. I have ehaagcd my domicila to ~
(Stee~t ~ad Numbetl ~
~ ;
a n d nd have beon a boaa Gde resident ot the State ot Florida siace day ot
L ~ ~ ;
_ 19~ I nside at ~ ~
~ , . (Street ~ad N~bKI ;
ST . L l1G I E ~,,,cy~ Fbr;d,.
l~t71 ~
and ihis statement is to be takea u my deeLration ot eitizenship. adual kgal residencE and domie~e ia the State ot Florida. ,
IF.fOR THE PURPOSE OF ENROLLING IF ~OR HOMESTEAD PURPOSES~
' CHII~REN IN SCHOOL~ PIEASE STATE PLEASE CHECK2 ~
7HEIR NAMESZ
. ~t~~p a~JO R~COROED~ _ ~
~L'~:E C~UhTY. FLA.
, - - , ~~,TFtFu
, . ~ . 4~15
:
~ ~79 APR 3 AWI 9: 14
-
Fte ~_F ~o~--~~-~
CLER CiRCUtT C URT '
• ~ ~ ~r/~ ~
c,~~ ~ ~E ~'S'(~ ~irnac~2
t . ~[~12tD~~-cC L ~
~
~ f
I FURTHER CERTIFY thit I will register at my kcal address ~rhen the registration books nopen, aad eomply with all 4
! other requirements oi a legal resideat of this State.
j - I R R th t I have no . intrntion to retnrn to m former domicile. and I iniend to remain in
! U C E County.
~ - ((St~) .
~ Fic: ida, permanea~i;.
i
;
~GOUIyTy z
,r,,..Li.E Nr''-•.ti.. C ~
V ~ OG .
oc : =p -
;
~ v ? J, ' ; ~n
,r~, .4~ a S~ r`~Q
~G~'E cau?m •F`~Q
~ _
~ _ '
~ 1 ~ Ur~,ti -t
~
~ ' aa~„'
~ 5~.~~orn to and suburibed before me this ~ day oi ~
~ _ ~
~ ~ ~ A.D.19_ ~9 ~
~
20GER PQ I TRAS. CLERK OF C i RCU I T COl~2T ~
,
~ ~T. LUGIE GOUNTY, FLORIUA
~
~ BY:
~
~ EPUTY LERK il M~~ v~lE
30G?.~r•~•~ -
~ ~ ? ~ r ' .
A~~~ f~~ 7~ ~
- ` ;.'~,"t J^-`'"~:e~
~~-~P~~, . . _ . . - _