HomeMy WebLinkAbout1987 Declaration of Domicile and• Citizenship H ~
TO THE CLERK OF THE CIRCUIT COURT. 4Q?9~
ST. LUG I E COUNTY. FLORIDA:
3
This is my declaration of Domic~e and Citizenship in the State of Florida that I am IIing this day in accordance. and in {
conformity with Section 222.17. Florida Statutes. ` '
- ~ and I
I was formerly a legal resident of h S '
ity) tSt.ate) ~
~iV • ~se • . However. I have changed my domic~e to
resided at . (Street and Number) ~ >
and am aad have been a bona fide resident of the State of Florida since / ~ A / day of j
-1vr+Z _197 .andIresideat 373 ~~bJfCOS ST-
tt (Strut and Numbv)
~orT S~ • ~.vC%~- ST. LUG I E County, Florida.
(City)
and this statement u 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:
l9J9 Jik~ 14 P~ 1~ 48 ~
~IL``EO ANO FECOROEO {
i
CLE K
C
RPO
TRAS
RECORD ~'~"RtttED~~~ .
i
44'904
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I FURTHER CERTIFY that I wt71 register at my local address when the registration books reopen. and comply with all
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
T. U C I E _ County. ;
(City) * ~
Florida. permanenti;.
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y~~ _ ~ ~
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= • ~d ~ (Nana)
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S•vorn to and snbsrn'bed before me this ~ day of a
% ~ .S I . ~~C;1 e ,I '
- - -
Q t ~ . A.D.19_ _ ~
- - {
ROGER PO { TRAS. CLERK OF C i RCU I T COURT
ST. UG 1 E COUNTY, FLOR 1 DA ~ ' .
_
BY: ~
•