HomeMy WebLinkAbout1517 D cl r tion of Domicil n ' ' ~ ~
~ a a c a d Citizenship
462549 -
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUC ! E COU~Y~ FLORIDA;
This is my declaration of Domidle and Citiaenship in the State od Florida that I am filing this day in accordance. and in
eonlormit~ with Section 222.17. Florida Statu~~tefs. ,
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.I was formerly a legal resident of (1L~ ~dl~ %-1~ _ _ aad I ~
f (City) IStatel
resided at ~ O ~ . However. I have changed my domide to
h3t~t aad nmbK)
and am and have been a bona fide resident o[ the S4te of Florida since - ~ ~ day of
_G~C~:~~-~-~ .19~.. and I wide at ~3 ~~/.c~caL~-C.tr.~~.- ~c •r ~ / 0.~..
Its asd Nambr)
ST. LUG 1 E County. Florida,
t(~l
and this statement is to be taken as my declaration of citizenship. actual legal residence and domict7e in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHII.OREN IN SCHOOI.r PEASE STATE PLEASE CHECK:
THEIR NAMES:
j
s-~ ~~i iS P?I ~ 0~ ~
f ILtU M.il I.Ui1Ut U i
ST.LtIC1E CGIi,YTY.FIA.
ROGER POttRAS
Ct.t4t1 C!i'CUlT CCUAT
. ~ 462549
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
U C 1 E _ County. -
ICat~) _
Florids. permanenci~ .
:`:v.1i;~;~
GO ~~jY ? l'~ -
lJ~~t ,~n`,: f~ •.~,L.. {mil
Sworn ~.lEu before me this ~ S day of S -
OcTnb e r" A.D.19{ ~1
C /yR S, C'ti a ~L~ ~J, W, s~
_ ~
ROGER P01 TRAS, CLERK OF G tRGUI T COURT
_ _
ST. LUGIE COUNTY, FLORIDA
• ~
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EPUTY LERK ~ = ~
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