HomeMy WebLinkAbout0312 Declaration of DQ~icile anc~ ~~~,~_~nship
700 THE (:I.ERK OF THE CIRCUIT COURT. ~
ST~. LUG 1 E 00~y, ~,p~A;
~ lUis is ap declaration d Domicils and (~enship in the S4te d Florida tbst I am flinS this d~ in aooordanae. and ja
eodosmitT wits Section 222.1T. Florida Statutes.
r I was a kgal resident d CX.Et~TI S'T'O'~F FLORIDA and I
(pyl (litdel
s'~ided ~ F A ,*-Ini T Rn P. P TIVF I N/ P n R COX d 77 - However, I Dave changed mF domide to
ISq..taed I~lnmbet)
and am and bane been a bona Sde resident d the State dFlorida since I BTI` ~7 d
•j~-Y 19
79 ~ I ~e d 8005 EDEN RD
(8a.et aed Nomb.rl
. FT PIERCE ST. LUG 1 E ~~,~;da,
llF4l
and this statement ° to be taken as mT declaration of citiunsbip. actual legal sesidence and domic~7e in the State of Florida.
IF FOR THE PURPOSE Oi ENROt.LING IF FOR HOMESTEAD PURPOSES,
CHILDREN 1N SCHOOLr PLEASE STATE PLEASE CHECK:
THEIR NAMES:
I~SARQIS LEI3I20N PICKRON
t
1CT61 ANGELA PICHI'.ON
- _ - i9t9 AUG 23 PII ~ I~ I S - •
FILED ANO RECORDED
STj~UC1El~CPO
RASA
CLERK CIRCUIT COURT
p ~ RECQRD VERlFlEDr.
I FUR1'SF.It ~17F'Y that I w~ register at mT local address when the registration books reopen. and ~mpl7 with all
other regmrements d a kgal resided of this State.
I F(JRTI~R CEItTII~'Y thst I bane no intention to return to m~ former domicDe. and I intend to remain in
T. U C I E _ Count.
` ta~>>
:'T PIED-.''E~
Florida. pera~anend;
-
g, CU(/
" - CJ~~ f ~~T`
~c
!G~`~`Q°° nE ~!s~ ry (dame)
(Adde~Ml
Swoea t0 and subscribed befo~+e me tbta dad opt ~'i ~ .~G~ E jL `3 ~~"50
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A.D. 79
R K OF G i RCU I T GOI~tT
ST. LUG I E COUNTY, FLOR 1 -
_
BY: ~ -
• E PUTY LERK
_ goflx 315 P~ -3'il .
a _