HomeMy WebLinkAbout2713 Declaration of Domic~l~ and C~t~zensh~p ~I
45563
ToT~cL~IC o>rTl~ aRCVITOOVRT.
ST. LUC 1 E OOUNl7f. FLORIDA:
This is aq dedaratioa d Domidle and (~[tisaaship k the State el Florida that I am ~ thk dq k aeooedana. and b
. coaiaa,itY wkh 8eetbe lP3.iT. Fbrida Stattites.
and I
I was a Mdai resldeat d
IC41
resWed at ~ ~'Y~C ~ 1V0~. - However. I baw eha~,sed ap doaaidb to
cad I~leoled
and am cad baw bean a bona Rde raddsat d tM State d Ffoeida since ~ ~ ~
. -
111_.~.. cad I reside at
_ N~~el_
' ST. LUGIE
~oaab. llaida.
t
cad this statement is to be taken a• n4' declaration aI dtisenship. adnd ksal residence and domidk is tM State d Floeids.
IF FOR THE PURPOSE Of ENROtL~I If_POR HOMESTEAD PURPOSES.
CH I t.OREN I N SCHOOL., PLEASE° STA ~ PLEASE CHECK!
THEIR NAMES:
Allaa~
• .
-~ls zo ~ 2 ~ o
A REp
_ • 1~IAtT
's18RIfIE~
I FLTR1TiER CERTIFY that I wID-r'te' at aq? local address wben the :egidration books »opea. and with aU
other regni:emeats d a kcal resident of this State. - .
I FURTHER CER1g'Y that I haw no intention to ietara to mp farmer dom_ ieile. and I intend to remain is
~ ~ ConntF. -
tact) - - -
>r7arida. permanent,-.
. - ~w E6P.Z.~N~
'
:M~ ?w,s~on ix' itvs tio•,.mGer 6, 191
`ur'n - - 3. ~ ~ - ~ ~ .
p
S~O~te sad m _ Teton me this ,~Q - dq at
'a. _ - ~ _ _
-::j A.D.1~; 79
f I RC 1 T COI~t T , . ; , .
ST. LUGIE COUNTY, fLOR10A
. .
BY:
EPUTY LERK •
BOOK J~~ PAGE .
• -
a, -
- ACd Form 11 ~?2