HomeMy WebLinkAbout0808 Declaration of Domicile a•nd Citizenship
454415
'I00 THE CLERK OF THE CIItCUIT COURT.
S~•. L UC I E oOUNT'Y. FLORIDA: ,
~ `,'This ~ ap declaration d Domkile and ptiaenabip io the State flat I am ~i this da,T in , area m
. _ ooatot~mitT with Section 222.17. Florida totes. ~ .y[ .
Cc~r~ !J~ /a l(~ e ~2 2v~ /,Q
I was forme a legal raideat d s' [ad I
tcu>> Itltat~
reskied at e~~ l ~ ~ ~ 3 . ~ • - However. I have ehaaaed mT domie~e to
- 18n..e and NsaaDerl ~ ~ •
and am and have beeo a bona Sde resident d the State d Florida sinnoe dy? d
~ /4 Y C--~ .19~ aad I reside at ~ /'r D ~ A O r
• 18trst asd tim?~rl
• ST. LUG I E -
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and this stateme~ is to be taken as m~ decLration d eitiunship. adtul legal residence and domieDe in tbs State- d Florida.
I~ POR THE PURPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSESa
CHILDREN tN SCHOOt., PLEASE STATE •PLEASE CHECKt
THEIR NAME
~ p 'Yt ~ ~
lr~~iti ~ 1 P- K ~C ~r l yi l ~a'rZCJ'1~2.
199 ALG -9 AM 11= 31
F co MHO ~ecoanto
s R uci Pa~RAS~'
a.E°cuzculr c
• RECORD VERIFlEO
454.415
Y
I F'IJR1'HER CERTff'Y that I wtU register at mT local address when the registration books reopen. and eomplT with aD
'i other regniremenL d a legal resident d this State. .
i
I FITRTHER CERTII~'Y that I have no intention to return to m7 former domin7e. and I intend to remain in
U C E Count.
IQit~)
Florida. permanend~.
~GOUNryc
~ - ~ ;G~
~ - .'i
`C r
(Hansa)
(Adde~ad
Sworn to and snl?sa~'bed before me this daT d
--9-
-u-r . A.D.19
~ .
ROGER POIIRAS. CLERK OF CIRCUIT COURT
ST. LUG 1 E COUMY, f LOR i OA
•
BY:
_ EPUTY LERK c~.~
- BOOR Jl~ PJt6E
- ;