HomeMy WebLinkAbout2375 - Declaration o~ Domicile and Li~~~-~n~~~i~ ~
45'72'75 ~
'!00 THE (~~RK OF TAE CII~CUIT COURT. .
ST-. LUG 1 E COUNTY, FLORIDA:
• •
`:This is mF deelaratian o[ Domidk a~ Citiaeaahip In the State d 1:7osida that I am 51iaS this da,~ is acoordanae. and is
_ oonformitT with Section 2?2.17, >`7orida Statutes. _ .
.r I was a legal resident d ~iqn~ c ~ O and I
. 171 IStaNi
resided st ~ SLR c o L l~ w ~?.t_ - Aowever, I have changed ap domieijs to
18traat and Nam~bad .
and am and have been a bona Sde resident d the State d l`7oridasins T daT d
mac'„ T_ ~ -19
~9
- and I reside at •~30 ~ S /~T,ac.Qiyr G Ni~?/c.:rrt y
18tr.atand
d~/c.~c r ST. LUG I E ConntJ.Florids.
ICI
• and this statement is to be taken as mT declaration of dtizensbip. actual legal residence and domicile in the State d Florida.
ii FOR THE PURPOSE OF ENROLLING IF FOR HOHESTEAO PURPOSES,
CHIIOREN IN SCHOOL, PLEASE STATE PLEASE CHECK: rj~/1
THEJR HAMES: ~ ~ I
~4t/Y~ i4LL~.~ e~ca....~z
~~PiN t/~ ~-/7iQ/.~77i? r /Ciln~ets~rr.~tit _ M~e _~rp 'C +y ~ I ~
s~~Ei
c" ~P°~"ai~~~°n.
c~RCwT ~j~j,,~ ~~j
. REt~01l0 VfRiFIEO..~~CL~~
45'72'75
I FvATHEIt CERTIFY that I w~71 register at m7 Local address when the registration books reopen. and oomplT with all
~ other requirements d a legal resident d this State.
I
I F[]IiTI~R CERTIFY flat I have no intention to return to mF former domide. and I intend to remain in
T U C E Connt~,
f - a / ~ -
F7orida. permanead;. ;
=cow J.
=v
} C`J
~h '••::t ,536 ~ ~S_ `cd ~ ~g~~~,r'
J r
Swors t0 and snbsa7~bed before me this ~ did d /"p T ~ c.r C c ~
. w.n.19
; ~1 ~ ~ ~ ~ - t
ROGER POITRAS. CLERK OF CIRCUIT COURT
~ •
~ '
ST. LUG 1 E COUNTY, FiOR 1 OJ1 _ - .
- .
BY: -E~-~ -
• EPUTY t.ERK
•
' Bo ~5 PacE~70` . ~