HomeMy WebLinkAbout2181 .r
Declaration of Domicile and CitiZenshi ~f
p
~4i2988
TO THE CLERK OF THE CIRCUIT COURT.
ST . L UC 1 E COUNTY. FLORIDA:
This is my declaration of Domicile and Citisenship in the State of Florida that I am tiling this day in accordance. snd in
conformit~r with Seetioa 222.1T. Florida Statutes.
.
I was formerly a legal resident of _~i ~ l_ ~L~-t~t.s. acv and I
- , ~ - ~ ICit~l IStatsl
resided at . - ~i~,-~ ~ ~ t_~c~~..~<..z ~ However. I have changed my domicile to
l sad NumAar)
and am and have been a bona fide resident of the State of Florida since ~il.~c~ day of
/ ~ 3 ,19 ~y and I reside at .-f~u~~i..~ /~u~f _.tQ.f-
lStrs~t sad Nu~mbar)
~~t2 ~ z _ S T . l UG I E County. Florida..
ICS)
and this statement is to be taken a, my declaration of citizenship. actual legal residence and domicile in the State of Fbrida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOi;ESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
T/H/E"~IR NAMESS
t, - ~ y
'~i9 Opt 18 AI~ 3.52
FILED Rh% i•;L[m~• u
S ROGER
P~ITf~tAS~t~
CLERK Ct?t:L~7 CCJyR,1('
-~629bi8
I FURTHER CERTIFY that I will register at my local address when the registration boolica reopen. and comply with aU
other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
_ U C 1 E .County.
ICityl
Florida, permanenti; .
. C~
~ 1. IAddi...T ~
Sworn to~and subscr~tl before me this ~ day of t ~ ,1~G t!'c~
A.D.19i ~1 ~ ~0~//~/ / aN/ti ef`S le
Y
R ~ ER P01 AS CLERK OF G IRGUI T COURT
ST. LUCIE COUNTY, fLOR10A -
EPUTY I.ERK ~ ,
•
_ . ~
~~1'1K~~8 TdGE~~ • ~ AGn F~r~~ 7~ 22