HomeMy WebLinkAbout2566 . .E
455554
'FO THE CLERK OF THE CIRCUIT COURT. ~ `
S'f . L UC 1 E COUNTY. FLORIDA: ,
Ibis is my deelaratioa.oi Domic?le and (~itixenship in the State of Florida that I am Slim this day is accordance. and•ia
_ conformity with Section 222.17, Florida Statutes.
-
^ Iwasformerl alegatresidentof t'~ite Sulphur Springsa t~!e~st VJ,rai.nia andi
ItSt~) tStaW
resided at C 109Q Tuekahoe Road AoWever, Ihave changed my domic7e to
IStreet sad Numbrr) .
and am and love been a bona Ede resident of the State of Florida sinct 13th day o[ ~
- ,
rzay ~ .,19~...andIresideat 213 t]est¢7~ rnrt Piersas.-rlar----- ~
es~...e,~d Nom» ~
- • Fort Pierce ~ ST. LUG ! E County, Florida,
tc~t,) ~
and this statement is to be taken as my declaration of. atizeasbip, sdual legal residenaa and domia7e in the State of Florida,
' f
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
GHlIDREN IN SCHOOLa Pt.EASE STATE ~ PLEASE ,~lECK: ~`7
THEIR NAMES: j l
C3.ndy L. Perrow -
Laurie A. Perrow 454 '
~~i ~ ~ ~ ~ ~ - ~
' - ~f - -
. RECOAO YERlF~p
-
I FURTIiER CERTIFY that I X71 register nt my local address when the registration books reopen, and comply with aIi
other requirements of a legal resident of this State. -
1
I F'URTAER CERTIFY that I have no intention to return to my former domiu7e. and I intend to remain in
T. U G I E ,County,
_ (City)
i~ lorida. permanend~.
~~COUNry
t~\ tOG.
ar ~
tii Mrs. Carolyn Perrow
~ ~ z - (Name)
Eccwrtr.+ti - 213 t~lestglen
(Address)
Sworn to sad svbscn'bed before me this _ 20th day of Fort PierCeJ Fla.
.
August A.D.19
~ ~1
~20GER P01 TRAS. CLERK OF C i RCU 1 T COURT .
- ~ - ~
ST. LUGIE COUNTY, FLORIDA
' .
P UT Y . t. E R K BiAhf v~~:'`IV{,7 -