HomeMy WebLinkAbout0390 [ +
46"7533
TO THE CLERti OF THE CIRCUIT COURT.
ST. LUC I E COUNTY. FLORIDA:
This is my declaration of Domicile and Citisenship in the State of Florida that I am filing this day in accordance. and in
conformity with Seetioa 222.17. Florida Statutes.
I was formerly a legs) resident of ,p ~ p /1/i p ZO O ~ I C h and I
' i ICity? SState)
resided at L-~ ~ p 1 . However. I have changed my domicile to
IStr•et sad Number)
sad ram and have been a bona fide resident of the State of Fbrida siace dap of
) . a~_.19 and I reside at r~D ~ . ~ C~ ' ~i-r ~tE3~_1~ -
nn (3treet sad Number)
o ~t . C~ ~ l a r 1 0~ , ST . L UG I E County. Florida,
Icy)
and this statement is to be taken as my declaration of citizenship. actual kgal residence and domicile in the State of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES, ~
CHIt.OREN IN SCHOOL,. PLEASE STATE PLEASE CHECK:
THEIR NAMES:
`1 ~ rn c~~- Inv IVt o~2 ~_,p,(o -
_ X3:9 r;~': 29 ~ I ~ l 4 I
f;~cp Akl r: t:,;,c::
ST.II:CIE LC;1,1iY.F_A.
ROGER POITR:.~
CLERK CIS Ct;,T C:C L'~ i
4'7533
1 FURTHER CERTIFY that I wt11 register at my local address when the registration books reopen, sad comply with all
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
~ y
J~ . U C I E County.
~ (City)
Florida, permanenti, .
a
CDU~r ~
~ t~ ~ o .t` ;
C~FQQUNT'~.~~ lJ ( I
sworn to and su before me this _..L_ day of
~~Or~M QR A.D.19_
~9 C ~~~NA Ma,ee~vo)
~ ROGER P01 TRAS. CLERK OF C 1 RGU I T COURT
ST. LUGIE COUNTY, FLORtUA
BY: ,~n....e~c~. ~ -
EPUTV LERK
~ ~~~K3~~ PaGE