HomeMy WebLinkAbout1309 i o.
• a a- ti a a •
~ ~1 ~ t
42.409 ~
TO THE CLERK OF THE CIRCUIT COURT, -
ST. LUC I E COU~Y~ ~,O~A; .
' This is'!ny declaration of Domicile and Citizenship in the Stag of Florida that I am filing thin day in accordance, and in
conformity witb Section 222.1T. Florida Statutes.
r..:,.
I was former a kgal resident of ~ ~!Z ~7~ ~ - _ / ~ and I 4
resided at R~o~a~ /~t R~- IG r' l~• 1~'' _ However. I bavelehanged my domic~7e b
(Sti.at and Nv~ber) _
and am and have been a bona Sde resident of the State of Florida since F~''~1
C' ~ ~7 ~
. 19_L_.. and I reside at oz o~cJo2 ~ / . Gc7Je~.i-fC ~K ~io,J J~ A~
l8t*•at aad Nambtl
j
i 6+7e C N ~ ST . l_ UG I E County. Florida,
1Ctty1
and this s4tement is to be taken as my declaration of citizenship. actual Segal residence and dominle in the S4te e[ Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMES2 f
i
1919 OCt t 2 a~ il~ 50
FILEO AFiO FtCtiRDF D
ST.IUCIf COUItTY.Ft A. -
ROGER POITRAS
CLERK CIFCUI~ CU4,I~
402409
I FURTHER CERTIFY that I wi71 register at my Ioca1 address when the segistratian books reopen. and comply with all
other requirements of a legal resident of this Stag.
I
I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
T. U G I E .County.
t (('iRyl
i FlOrlda. permanendj.
9! •
-~G-.. .w.,., as oa yy
Sworn to and snbxtl~ed before me this ~ ~ day of ~
: ~ K C, I- A . 3.3y~U
• ~cTObc r - ~ . A.D.19_ q -
~1 C ~ tN~ /"1 D ST ~ ,
ROGER PO I TRAS. CLERK OF CIRCUIT COURT
ST. LUGIE COUNTY, FtORiOA - -
i
BY:
• EPUTY LERK M ...r--
P.~~~3~.8 P~~~~04_