HomeMy WebLinkAbout1578 Declaration of Domicile and Citizenshi `f
. P
46453'7
TO THE CLERK OF THE CIRCUIT COURT.
ST . LUG 1 E COUNTY. FLORIDA:
This is my declaration of Domic~7e and Citizenship in the State of Florida that I am filing this.day in aeeordanoe. and in
conformity with Section 222.17. Florida Statutes.
_
' - I was formerly a kgal resident of ~,®.~~,~L~/L~l~~ i ~ ~c'ui ~.f'J ~ ~f and I
lClity) IStata)
resided at ~~3,~1~11r ~/9/L . However. I have changed my domicile to
13tr~st sad Naad~)
and am and have been a bona fide resident of the State of Florida since ,/.'S ..~`l day of
~~'~o~r'k ,19~~ and Ireside at /z/ Fl~.~=•~°J1eti ~.f'/~/
o~~ ~ L~~. _ IstrMt.adNamMr) count • Flor~aa
ST LUGIE y
Icsty)
and this statement is to be taken as my dec]aration of citizenship, actual legal residence and domieRe in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES: ~ /
.le~~~T _~olie/~ pis T(ov I ~ 3°
Y/Ch~~ ` . C4G sLEUCIE ~~~::~tv.r.:..
ROGER PpITRA`.-~
CLERK CiaCU1T C"L'RT
46453'7
I FURTHER CERTIFY that I will register at my )Deal address when the registration books reopen. and comply with aU
~ 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
~ UCIE
-County.
ICit~)
Florida, permanenzi; .
~;r.,
. •
~ - - _ _ -
- -
, ~ ~ir~tfs~ L1 ~ C o c, e / /
1 )
Sworn to and subscn'bed before me this day of ~7~ /cL c•iE'F . L, -
A.D.18
~
ROGER POfTRAS1 CLERK OF GI`RGUI GT
Ol~2T J
~ _ .
ST. LUG I E COUNTY, FtOR 10A jN t ~
BY: ~ ' '
s.;
E PUTY LERK '~i: ti - 4- ~ .
B~x3~9 P~~f~.575 . ~ .