HomeMy WebLinkAbout0322 ~ Dectarafion of ~c~-~t~ile and Li~~zenshi
p
~o THE c~.>xx oFTIIE C1RCtIrr oovlrr, 45~~162
S~~. LUG 1 E OOVI~TY. FLORIDA: ,
. .
~','Tbis is mY deeLration oI Domic~e and (Yti:enahip is the State of Florida that I am flint this d~ fa acoordaaoe. and ie
coniormitj with Section 222.1?. Florida Sta
I was fo~ a legal resident d l ~ _ J.~iW!t and I
ill tlltaW
resided at 1
~l~ ~~'sO~ - Aowever. I Lavs chanted aq~ domicSe to
I8tred asd I~lamb.~ ~i1~ ~e~~~
and am and Lave been a bona ~e resident of the State of Florida since ~7 d
,19~ and I reside d 9S' ~ ,,~ieOcJ.t~/,r/~
18a..t Namti.r)
~ ~vci~ _ ST. LUG I E ~;a,,
tc~~
and this statement is to be taken as mT dec]aration of citizenship. actual legal restdenee and domie0e in tLe State a[ Florida.
Ii fOR THE PURPOSE OF ENROLLING If FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOIs-PI.EASE STATE PLEASE.CHECKZ
THEIR NAMES:
X19 A~J~ 23 Pk 1~ 20
S~~E~IE CSI OfcDf 0
T .F`A.
- ~ttXiER OIT 5
d.ERK CIRCUR COURT
RECORO YERiF1EQ
~I
I FtTRTIIER CERTIFY that I w~71 register st mT local address when the registration Looks reopen, and oomplT with aD
other regniremeats of a legal resided at this State.
I FURTHER C~ERTIT'Y tbst I have no intention to return to m7 former domicUe. and I intend to remain in
~ U C E Coo~j.
t(3'iyl
Fbrida, permaaeml;. `
_
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4 O . C G'•
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7 . -ice
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trt,.le11111\\
~'(0 1~ielScJ a,~ -
Savors to and snbea~bed befar+e me this dsT of ~ S'~ u ~r'1o_ -
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_ _ _ w.D.1s; ~ -
ROC~ER POITRJIS, CLERK OF' CIRCUIT COURT
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ST. LUG 1 E COUNTY FLOR 1 W1 -
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BY: ~ -
E - E P UT Y L E R K g~~K 315 PacE
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