HomeMy WebLinkAbout0055 _
r 1 _ .
U•C:GfG.j ~~t_~~.1 ~_i+ ; .L~iiG ta:c._~_.t,.itt;Y~c~ ~~n~_ . _ - _
" ~ -
45?983~
.
'it0 TAE CLERK OF Tf~ CIRCl11T OOURT. _ -
_ S'S`s..~~ ~ OAUN'1'Y. Fi~ORIDA:. - -
~;~-ll+is_i: >RT dsehratioa o[Damietls and Ctti~eaship is the 8tste at >i7orida that I am b~-tLis dq ioaaafdana. a~a i~ - -
. _ co~alarmitT with Sedlaa 2~.I7, Florida Statutes. _ - =
r
- ~I was corm a kpl resident of G f•F- - _ C ~ ' aid I
.lW~ tsta~l - -
resided st ~ ti Ii L L ~t J' Y ~ Its „~,R ~f1-~ - Aowenez. I Lave cban,Eed n~•aoaoieits tD _
tst:wt..d T~msbal -
-aad am aed Lavebeen aboaa Sde:esident aithe State d1`7a~ida since . rLl•~ T~ aa7 d =
1.. .1l,~. and beside at -1 71I ~ , ~ ~L „L~ 7~ ~-.~P T C R/~?.
. - ttta..c:,.aft.meu.~ -
1,. ST: LUG ! E ~ Co4mt~,1`7orida,
- ~c~ - -
• ana this statemeat is to be takes as aq aevaration of citi:enstup, adttal kgxi s,esidence and don>sei~e is the state d Florida.
F FOR THE PURPOSE -OP ENROL.-t 1 HG ` _ I F i'OR HOMESTEAD PuR POSES
CHltDREN 1N SCHOOLS -PLEASE STATE - PLEASE CHECK2
THE f R NAMESL - - t ~---J
- - - - 1919 SEP 2Q ~N il= 00 " s
_ - _ - _
F LEO AID RECaRU~O ~
- S~ LUCIf~ OtlNTY F A.
ROGER PO{TRAS
- CLERK CIRCUIT COURT
- - . ' RECORD VERY IEO -
-h.
- t 459832
- - ~
_
I FURl'~A Ci~'Y that I w~ register ax ~ lout address when the regists=tio~a book: r~apen, aaa compll-with aD
- ot~ segpiiemeats d a legal re:;de~ at this stale. -
I_ F[JRTAF.ii CF.EtTII~'Y the I have no iateation to return to mT former domia'1e, and I intend to remain m
• _ ,T _ LUG 1 E _ Gonat~,
_ - _ _
F7osida, permaoend,: - '
- i
- - - 4:
CouNry - -
~ -
~ t-{
vs ie
~~sreEt~sfO~A -
- ~'jf CO11Hn .F~ . _
Qd+ma
_ /V. t~ G ~••a tau/S f- - 14 f-/~'N~ -
S~waestea~ad sobscr~ed beiaQ+e me tLis Q aaT ai , I'r'•t~sai R 7" T ~'~R, -
- a D.1~; -
~K~~F''G1RC~lT GOI~tT
~ r
~ ~i b
1 - - ~ -
sT. Luc r E cou~rr~, ~oaj~»i
~ ~ . _
EPUTY t.ERK ~ -
. - • -