HomeMy WebLinkAbout2992 Declaration of Domicile and Citizenship
463488
TO THE CLERK OF THE CIRCUIT COURT.
ST . L UG I E COUNTY, FLORIDA:
This is my declaration of Domicile and Citiunahip in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.19. Florida Statutes. '
I was formerl a legal resident of ~•~Ll a Ui1~ ~ ~ ~ ~ and I
Q~ if n IGtit71 IState)
resided at ~ " ~r H ~ T/~~f S~ C.~ . However. I have changed my domic7e to
1 and Number)
and am and have been a bona fide resident of the State of Florida since ~ S` ~7 ~
~t~ U~n(~~t~/~ .19~.. and I reside st ~
G~~~ 6E ~~~f ~-l L~.
(St+e~t Nnmb~r)
f
[%K'I" ~f ~_Ll C!E _ ST. lUG I E County, Florida,
ICit~)
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK2
THEtR NAMESS
Ju ~i~ ~u ~ Eo
~/U T-~J~ /V ~
~ n7i c~ ~,T9 OC ~ 23 F~+ 3~ 33
FILEU tRC F;~:U~Jc J
ST.LUCIE CGl:ITY.F::+.
ROGER PCITR~,`-:
463488
i
I FURTHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all
other requirements o[ a legal resident of this State.
E I FURTHER CERTIFY that I have no intention to return to my f
rmer
d~'cile. and I intend to remain in
T'~~' J T. L U G I E COUnty.
(City)
Florida. permanenti; .
6
t • ~i _ _
a ) ~
Sworn to and subsrnbed before me this ~ day of ~ - C.C ~
A.D.19_ 71
ROGER P01 TRAS. CLERK OF G iRCUI T COURT
ST. LUC I E COUNTY, fLOR 1 OA
BY: _
EPUTY LERK ~ -