HomeMy WebLinkAbout0498 • /
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TO THE CLERK OF THE CIRCUIT COURT.
ST . L UC I E covrlTY. FLORroA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aeoordance. and in
conformity with Section 222.17, Florida Statutes.
I was formed a legal resident of 1,/ i F_ .c-' ` •~l r• ~ ~ and I
/6~ ICityl (State)
resided at ~ ~ Ci e Fr' f 12C,~t ~ R!>> . However. I have changed my domicile to
l3treet and Number)
and am and have been a bona Gde resident of the State of Florida since L~~ _ day of
~ O~~ TU- QMF/:iLsl L c r # 7~ L
D i, r=
Nt t= iL ,19~ and I reside at . ~ c ~ c ~ n 7, n F
(Street and Nnmber)
i ~ i... 5 ~ C3 A _C: N ~ S T . L UC I E County. Florida.
ICit~)
and this statement is to be taken as my declaration of ~tizenship. actual legal residence and domicile in the State of Florida.
R N IF FOR HOMESTEAD PURPOSES
IF FOR THE PURPOSE OF EN OLLI G ~
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS ~ {
THEIR NAMES:
f~f.~~-~1 E c. ~=i , j` (r_' r < i F X919
•:'07 29 F~ 2: 4 3
FI~iG i.Ml L' rU I'
ST.LUCIF GiL,V(Y.FI~-
ROGER PO(i P.,~S
iCEFK C(FC~.!1 •S Ii
46'7583
•
s
I FURTHER CERTIFY that I wt71 register at my local address when the registntion books reopen, and comply with all
othar 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
_ ~ T. U C 1 E .County.
i (G5ty)
~ -
Florida, permanenti; .
i~
(Name)
- ' , ~ IAdd»a)
Swofutoasd sp6eet~bed before me this ~ ~ day of •-7C ti- S'F f~. .C3 c=/~ c l~
c 3 3 7
I ' 9 - ,
U'E' ~ ~ E' ~ A.D.19_ .~I
ROGER P01 TRAS, CLERK OF CIRCUIT COURT •
ST. LUGIE COUNTY, FLORIDA
BY:
EPUTY LE K ~k~j~
_ - 30~K ~.1. tdGT