HomeMy WebLinkAbout1122 Declaration of Domicile and Gitizen~hip ~r
- 446'736 ~ ~ 44'7333
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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 oI Florida that I am filing this day in accordance. and is
conformity with Section 222.17, Florida Statutes.
I was formerly a legal resident of !Vest Babylon _ Nevi York and I
. (City) (Stile)
resided at 202 Arnold Ave . However. I have changed my domicRe to
(Street and Number) -
and am and have been a bona fide resident of the State of Florida since 15th day of
?Say 7~ 1815 South 31st Street s
~9 _ and I reside at
(Street aadNambes)
i ort Pierce ST . L UG I E County, Florida,
ICily) ~ -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domic~e in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL., PLEASE STATE PLEASE CHECK: ~ -
THEIR NAMES:
I9t9 JU~~ -5 AN iii 37
fILEO IIkD AECO 0
3tLt1GE CGl1NTT A. }
R06ER POIT~i4
CLEIB( C1RClAT COUR
- 446'736
I FURTHER CERTIF'lt that I wt11 register at my local address-when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
f -
i
I FURTHER CERTIFY that I have no intxntion to return to my former domicile, and I intend to remain in
T. U C I E County,
tCKy)
E Florida, permanenti~.
. -
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cpUNTy F$•%8~~f'~
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` ~ - James Francis Hall `
CG ~ ~ (Name)
v
; ~ ~ 1815 South 31st Street
- ~
sl., ,~3> - o~
.rtt'toralti gQ$scribed before me this 5th day of Fort Pierces Florida
June - - A.D.19_ ~I ~
- ~ -
ROGER POI TRAS. CLERK OF G IRGUI T COURT
a
ST. - I E COUNTY, FLOR 1 DA
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~ BY: ~ s,
' _ EPUTY LERK ~