HomeMy WebLinkAbout2974 r~ ,
Dectarat~on of Domicile and ~~fizensh~p -
~'~a
- 455~Q~ ~ `
lop THE CLERK OF THE CIRCUIT COURT,
S~~. l UG 1 E COUNTY. FLORIDA: ,
~ `,:l7ais is aq~ declaration d Do®IcDs and Clti:enship is the Sw,e d Florida that I sm 51ing this d~ in acoordaaa.-.and. ie
. _ oonfor*aitT with Section 222.17. h7orida Statutes. u
~ legal ~ i
cl-~s yl l le ~ -l~~.u) J ar ~ aadl
I was forme a resident d
_ iCk7) 19t+~i
resided at ~ ~ ~ nC~ r V~ ~ - flowerer. I bave ehaoged my dormice to
l8tted aad NrmDw)
' _ and aam and have been a bona Sde >~esident d the Stile d Florida aiooe ~ ~ ~ S~ ~ , ~ a - dat d
i '1~
' 4 19~. and I reside a: I ~ ~ Ch t L~r1P
. _ It)tr..t and Nomb.rl
Pr~r~- . _ Lu c, ~ ~ sT. Luc 1 E Comity. Fbriaa,
. - iat,?)
aad this statement b to be taken as my declaration of citizenship. actual legal residence and domia'le in the State of Florida.
IF FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES
. CHILDREN IN SCHOOL.r PLEASE STATE PLEASE CHECK:
THEIR NAMESS _
446
- - - ~ i9T9 AEG 21 I'!I 4~ 21
FIl~O AND RECORDED
SLLUC E COiAiiY.f`A.
e ` CLERK POfTitAS _
RECORD YERIFIED_
I FtTRTIlER CF.EiTg'Y that I w>'II register at my local address when the registration boob reopen, and eomplT witb all
other regniremeate d a legal reside. d this State.
I Ft1RTAER C~ERTII~'Y th:t I have no intention to return to m~ former domia'k. and I intend to remain is
T U C E ~7.
_ Ilxtj) .
~ T:7orida. permaneml;. -
i
i
COUNTY
- ~.5 ~ ~ , Ala . 334
~j ~ _ two...)
Swore to asd snbeen'bed before me this ~ ~ day d
A.D.1s ; ~ - ;
R C K OF CIRCUIT GOU2T s
~r
- ~ ~
•
E ST. LUG 1 E COUNTY, FLd21041 -
BY:
' PUTY RK '
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