HomeMy WebLinkAbout1811 Declaration of Domicile and Citizensh' ~r
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46~'T76
TO THE CLERK OF THE CIRCUIT COURT,
•
ST. LUG 1 E COUNTY, t-LpRIDA:
This is my declaration of Domicile and Citisenship in the State of Florida that I am iding this day in accordance, and in
conformit~+ with Section 222.17, Florida S4tutes.
I was formerl' a legal resident of `'ort~~nod Perna . and I
l(st71 IStat~l
resided at 35 Amn s 1 an d t:d. . However. I have changed my domicile to
lsteMt sad Nnmber)
and am and have been a bona fide resident of the State of Florida since 9 day of
October 19?c -andIresideat 1550 S.E. :•iinorca Ave.
(Straat add Tlambarl
Port . St , l.acie ST. LUG 1 E County.
iCtcy)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiei7e in the State of Florida.
IF .FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
t.~eoa-c?e II. I~radlev Jr.
'919 Qrt t 6 P~ 2~ 4 4
• FlLEU RHD F=wr.u;J
51'. LUCIE COUNT Y. Fl:..
ROGER POITR:.S
CLERK CIR%U17 CO RT/
4~~'T76
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 domi~le. and I intend to remain in
nr,~~~- _ -tea ~ i .~;.4; ~ U C 1 E County
1~y?
Florida. permanend; .
-c~'~~~~
COUI~I~•y
;'y
LUG NIf 1°:~\~ •Q~O' ~ l
~C`f ~GU::TY.~~C (Mama)
~~v~`• 13.s0 L_ ~~l ~ 1!0 ~ ~ ~ f~yC~
- ~ IAddraaa) _
Sworn to and sobsen'bed before me this day of _ e .e T ~~7 f , y c i ~ .
_ -
A.D. is; j 3
ROGER FOITRAS. CLERK O!-•GIRCUlT COURT ~
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_
ST. LUG I E COUNTY, FLOR 1 OA ~ , • : - . f .
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