HomeMy WebLinkAbout2231 Declaration of Domicile and Citi~enshi y~
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TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG I E COUNTY. FLORIDA:
This is 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 wu formed' a legal resident of ~ h, it.a ~~h r u and j
(Cllr) IState)
resided at r ? r ~ br Mn [Q r~klc _ . However. I have changed my domicile to
(3treet and Number)
and am and have been a bona fide resident of the State of Florida since F~'i ~ ~_W e.~ L ~i - t tl e,~ fir day of
~CA i .191_. and I reside at ~ ~ L yr a r ~ i i? r . r
~ . ~e r c ~ S T . L UG I E~ .aa rlomberl County. Florida.
(cxlyl ,
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the SLte of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE 'PLEASE CHECKS
THEIR NAMESt
I9T9 I~!IY 14 P14 2~ 14
FILEO ANO kECOiu?EO
ST.LUCIE COUIITY FIA.
ROGER POITRAS
CLERK CIRCUS? CO
RECORO YEF!fIEQ
444302
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen, and comply with aU
other requirements of a legal resident of this State. -
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
, r r r T U C I E . County,
I ICrty) -
Florida, permanenci; .
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e t t:CU!!S`I l ~ ~ Q.U ~~7 1 ~ r~{ 1117 ' / Q
~~l` Addrenl
Sworn to and snbsrn'bed before me this ~ y ~ ~ - - ~ ~ Zl
. /iC2~ A.D.19
~ -
ROGER PO I TRAS. CLERK OF G I RGU I T COURT
,
ST. LUGIE COUNTY, FLORIDA -
' _ -
BY: •
.CG
EPUTY LE.RK
• IMY.•
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