HomeMy WebLinkAbout2087 Declar tion o ' '
a f Domicrie and C~t~zenship
~~o~
TO THE CLERK OF THE CIRCUIT COURT.
ST . L UG i E COUNTY. FLORIDA:
This is my declaration of Domic~7e and Citiaenship in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.17. Florida Statutes.
I was formerly a legal resident of g~, r1: ie uj r 9 i n i a and I
ICityl 13tatel
• resided at 9091 Ian dr mmeda Drive . However. I have changed my domicile to ,
(Strut and Number) ;
and am and have been a bona fide resident of the State of Florida since A1aY 9 1 ~ 79 day of
19+.,andIresideat 493 I-~aYland Ct.
18treet and Number)
Port ~.t _ t .uc~i cn ST. LUG I E County Florida.
lCtt~1,
and this statement is to be taken as my declaration of citizenship. actual legal residence and domic7e in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMES:
Laura Jean Com'.~s
Kimberly Lyn Combs
~~79 ,,'_'s' 14 AM 3~ 19 ~
Ft~EL A!r:' Ft.I:~~tt:tD
S ROGER
POITRASA•
CLERK CIRCUIT CO T
P.ECGP[) ~'ERIF~f.~
~~2os
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen. and comply with all
other requirements of a legal resident of this State. - 33
3
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
T. U C I E County,
ICityl
~ Florida. permanenLi;.
-
_ ~ CoM 8S
QANK~I.I N
G
d
IName)
z (Addrea)
fi Sworn to and subsrn"bed before me this day of c / 4 t ~
f. ry9 ,p
ROGER POI TRAS. CLERK OF CIRCUIT COURT
ST. L UG I E COUNTY, f LOR t DA - _ . ~ ~-~`v
- . " - ~ - ,a
' - EPUT LERK
~ aeon 308 o~cE 2087 :
_