HomeMy WebLinkAbout1452 Declaration of Domicile and Citiienship
44455
TO THE CLERK OF THE CIRCUIT COURT.
ST . LUG 1 E COUNTY. }-I,pRIDA; .
This is my declaration of Domicile and Citiseaship in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.17. Florida Statutes.
• - I was formerl a legal resident of G~ti'ti ~r~' V ~y V ~ I
1 - 1 13tatel
resided at ~7~10 :r
r; [/f
~/t~A Q4'11~. /t 1 ~ . ~C'tl i S~ j /f_ G/~~ However. I have changed my domicile to
. 13treat sad Number) 5~'<G / ~
and am and have been a bona fide resident of the State of Florida since ~s day of
~~T L ~F ~E' .19~ and I reside at •5 .S f' F D - /~l J ~ fi~ j
13treet sad Nnmber)
- Pi F /<c• ~ ST . LUG I E County. Fbrida,
ICityl
and this statement is to be taken as my decLration 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 CHECK:
THEIR NAMES:
S R
GER
1~01TR. S~
CL.ERit C::?C~iT CC~~
-r-~z~ .,,c,.~.-r _ 9
- 44455
~ I FURTHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all
f
other requirements of a legal resident of that State.
I FURTHER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
T. U C I E County.
(Ciyl -
s
Florida, permanents; .
-
~4 - (Name) ~ t
>
Sworn to an~ tr»bsrt~edbefore me this 31 day o[ - ~,f i z G ci ~ S ~
a
~ C~ULJ zl 1 _
_ _ ,
ROGER POfTRAS, CLERK OF CIRCUIT COURT
ST. LUGIE COUNTY, FLORIDA - -
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3~9 P~~E 1449 - - ~ . f . ~ ;
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