HomeMy WebLinkAbout0237 • t A rah, f t •
..-:r~ c~ ~ ~ ~ ? and C~~~~~~ •
44i'7443
TO THE CLERK OF THE CIItCUIT COURT.
ST . L UC I E COU~Y, ~,O~pA;
This is my declaration of Domic7e and Citisenahip in the State of Florida that I am Sling this day is accordance, and is
confosmity with Section 222.1?, Fbrida Statu
I wu formed a legal resident of ~ and I
ICit71 15tate)
resided at ~ ~ e G~~ . However. I have changed my domicile to
(3tseat and Numbar)
and am and have been a bona Cde resident o[ the State of Florida since a ~ , day of
~~jjqq
_ 19_L• sad I reside at ~ Z
(3taMt sad Nnmbad
S T . LUG 1 E County Florid,,
-T tesei?
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Fbrida.
r
I
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES, ~
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES: ~
5t. tt)C~E tcu~t v,? t
It GAR POItItAs
- CLERK CIRCt1t1 CC::,;~
+
4'7443
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen. and comply with all '
other requirements of a legal resident of this State.
i
I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
, T. U C I E County,
! ICit71
Florida, permaneati; .
F
's
y
t
3
-~~~OUNT - ?
~r-_~I. y
F C
Sworn to an~~ti~~fore me this ~
g day of r
I(J ~veM C~ A.D.19_
ROGER PO i TRAS, CLERK OF G IRCUI T COURT
ST. LUGIE COUNTY, FLORtOA
BY: _
EPUTY LERK
~ ~fl~~321 ~~~F 237