HomeMy WebLinkAbout1354 _
• vec~aration o~ Vocnicile and C~ii~zens~~i ~t '
P
-
Zoo T~ t~.ERK OF T)E~ CIRCUIT COURT.
S'~y L UG i E OOUNTY. FLORIDA:
~ This is ~ declaration d Domkile and Ctt~enship i4 the State d Florida that I am i'ffing this dq la aooordanos. and b
e~formitg with Section 22t.1T. Florida 8tatntes. .
V ~ T/IGCi~ ,,Yn~/ asd I
I was i~ a ~ resident d
_ J, lClt71 ' / ~ t84W
resided at _ ~rI.7~Ir ~1~.~ ~ ~ l' OIC/!-!~ Ilowerer. I pare cbanied mF domidls to
• l8ts.d saa Naad~ .
and am and bare been a bona Ede resident dtba 84te d Florida since ~ ~'y daj d
~ ~ /~ji
19_ r~' . and I redde at ~ ~~°O;_~-•~.-o~ • (X.P~ V!/~
(Sermt.adNasb.el ~ '
~~,,~.orC.P _ ST. LUG 1 E Count7. Florida.
ltlbl -
and this s4tement is to be taken as declaration d dtiunship. actual legal residence and domiale in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING If FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL., • Pt.EASE. STATE PLEASE CHECK2
THEIR NAMES:
w
!9T9 d3 X11
~m .
cLa~lllcoa~r
RECORD 1?Eitli'~
p
454'21
I FtJRTFiER CERTIFY that I sn7l:egister at mg local address when the ngi:tration books reopen, and oompiF with all
other requirements of a legal resident of this State. _
- '
I FiJRTI~R CERTg'Y ttµt I have no intention to return to~ m former domic7e. and I intend to remain in
_ T- U C I E Count.
_ (C~itrl ~ _
Fiorida. permanend;.
~ -
J
Swocs to and snbsaibea before me this ~ daT d - - ~ ~ ?
. ,~wH ~ .
_ ~
- a.,
, ,
R A CLERK OF C IRC _ v = _
ST. LUG i E COUNTY, FLOR t OA - ~ ~ ' ~ ~
• - BOOK 314 Pa~F1~4`7 - .
- r