HomeMy WebLinkAbout2927 _ -
•
s
• ~~813
'f a ZiiE CLERK OF 1~iE CIRCUIT COURT.
S'~'. LUG 1 E COUNTY. FLORIDA: ,
` •~Y'his is my declaration of Donzic~e and Citizcnsbip in the State of Florida that I am Sling this daJ in accordaaae. and is
--o:~formity with Section 022.]7. Florida Statutes. ~ 6!!~-+'' ~~v~(J
I w rs formerly a legal resident of ~ V and i
~ tStsts)
r ~ sided at ~ $owever. i have changed my domic~e to
(Street sad NumLesl
r d ~ m and have been a bona bde resident of the State of Florida since day of
_ _ 19~. and I reside at
sad Numbs)
- ST. I.UG 1 County, Florida.
IL~ty) -
a:~d this stattmen: is Lo be tr_kea rs my declaration o! citizenship, actual Iega1 residence and domia'le in the Ststt of Florida.
IF fOR THE PUe~POSE .Of ENROI.I.ING If FOR HOHESTEAD PURPOSES, .
CHILDREN IN SCHOOL, PLEASE- STATE PLEASE CHECKS
TH R NAMESS
9813
. ~9~ AUG X21 PN 2~ 27
.
a~llc~waar 1~"~I,IIr
~r+o+El~al~o_.~_
I : lii{~lii ~rZ C:-::'fli'Y that I ~:t11 r~~b:strr at- r;,y Io-:.1 ::~:3?-ess when the registrztion banks reopen, and eo:z:ply c:itlt aJ1
I rcquiren,ents of a legal resident ai this Stan.
~ I "r
URTHER CERTIFY that I have no intxntion to return to tn~ former dota'scde. and I intend to setnain in
j 7 L u ~ t t _ County;
- Ic~pl
. err.::;.~•n:i,:
~ .
-
~ ~Ov~1TY ,per a~ t;
- - i
t ~ ~ l~~ ~ - ~/V~
i
~ ~ ! 1 ~ z_
---9- - -
6 , ,
- - A.D.19_ ~l - - - ~
I
-F ~ ;-nt:.~r: x _~l_r_~K of C f-RCU1T co~~T
C . 1_ UC 1 E CO'JS~liY, f L4Z 1.UA -
,
_ ~ a ~ .r
- F: P U T Y 1,1. ~ ;t K - - - - 1)R3~~ PA(~iE~
~aox