HomeMy WebLinkAbout2215 Declaration of Domicile and Citizenship ~
y
~424U3
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUC 1 E COUNTY. FLORIDA; •
This is my declaration of Domie~7e and Citisenship in the State of Fbrida that I am filing this day is accordance. and in
conformity with Seetioa 222.17. Florida S4tutes.
Iwasformer akgalresidentof Wi lmingto~i, '~<~latvare iodl
ICrtyl 13tatRl
resided at Sl; : a° rfaL--mil ' - . However. I have cbangod my domies7e to
18trMt aad Naafi
and am and have bees a bona fide resident of the State of Florida since 1st ~y of
Aril 1979 .andIresideat 2:i1 ~ ESQ>lanade
_ ~ ~ (8tr«t aad Nomb~r)
r~rcc~ _ ST. LUG I E County. Florida.
' racy)
and this statement is to be taken as my declaration of eitisenship. actual legal residence and domicile in the State of Florida.
I~ FOR THE PURPOSE OF ENROLLfNG IF fOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE Pt.EASE CHECK:
THEIR NAMES:
_ ~4z4Q3
'Z9 27 ~M 9:39
~ ~
I FURTHER CERTIFY that I wdl register at my local address when the registration books reopen, and comply with iU
other requirements of a kgal resident of this State.
i
I FURTHER CERTIFY tint I have no intention to return to my former domicile, and I intend to remain in
_ a rca T_ UCIE
ICayl .County,
Florida. permanenti; .
E
p '
. - J~ f''. u
e~
- l`
~ e
O ~ _
:G
U'
~„•.:t^' :`•r" 1'elen T. " lrieric
_ 281' Lsr~' a~:a~le ~
n (Addrw) ~
Sworn to and snbsrn"bed before me this d` Z day of Ft . i e r c:~ -
C _ i
. A.D.19_ •
ROGER P01 TRASL CLERK OF G I RGU I T COURT
a
ST. LUC I E COUNTY, FtOR t OA •
~ EPUTY IERK
' -
.
g00K t~~ DACE ~~15 . ' • ' I
@FS _ _ A. r. -
_ ~