HomeMy WebLinkAbout0922 • ~ ~
.:~~~:laratcc~~~ ~:~~c~cEe acid Cc~cz~nship
4~i'78'74
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUIV'I'Y, FLORIDA:
This is my declaration of Domicile and Citisenship in the State opt Florida that I am filing this day in aooordanOa. and in
rnatorauty with Section 2?2.17. Florida Sbtutaa. )
I was formerly a legal resident of ~ 1 ~ SY\ ~ ~ and I
~ ie~e~? iSewl
resided at ~ ~ . However. I have changed my domicile to
(StrNt and NmnbaN
and am and have been a bona fide resident of the State of Fbrida ainoe _~,Tl~nr _ /9?,,~_ day of }
19 and beside at ~ ~•3 ~ ~L~.
~ fBteNtaadNambr)
_ c , f~ ~ti r t~ _ S T . L UG I E County. Florida.
~~l
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State of Florida.
IF FOR THE PURPOSE Of ENROILtNG IF fOR HOMESTEAD PURPOSES 1
CHIt.OREN iN SCHOOL, PLEASE STATE PLEASE CHECKS ~ !
THEIR NAMESS
/ '
' F LEO ANt~ ~ i ~.:~OEO
;~.IUCIE :i,..v_' `FLA.
Dec 3 i0 29 AM'?L
44i'78'74
I FURTHER CERTIFY that I w~71 register at my local address when the registration books reopen. and comply with all
other requirements of a legal resident of this State.
I FUR1'IiER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
ar-~; _ u t ~ E County.
ICtt~)
Florida. permanensi; .
~ .
s
' M {
• ~ ~ ti J !
• • : ~ /7/. ~
Siaordtd itnd~llb before me this ~ day of y~ c~c-c~ .
C A.D.19_
ROGER PO I TRAS. CLERK OF G I RGU I T COURT
ST. I E COUNTY, i'LOR i A
BY: c ~ ~ - ~ ~
EPUTY LERK
8Q~321 P~ 92'i '