HomeMy WebLinkAbout1157 ...:~ara~ic~n c~ ~as~nicile and Citi = L... s ~ ~
~ssoos
TO THE CLERK OF THE CIItCUIT COURT.
ST . L UG I E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance, and in
conformity with Section 222.17. Florida Statutes.
I was former a legal resident of ~_r~,o and I
estate,
resided at ~ , However, I have changed my domicile to
tstrNt sad Nnadse)
and am and have been a bona fide resident of the State of Florida since ,~/~//4.J.. day of
19~ and I reside at / d ~o LL^?~•C~ ~r
~ (Strad sad Namt+wl
County. Florida,
((xt,l
and this statement is to be taken as my declaration of citizenship. actual legal residence and domicile in the State ~ Florida.
IF FOR 7HE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHII.OREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
fLED AN.i • ' ~l~pEO
IUCIC . ~'i! • FLA.
- ~ CLEQK i. ~ i c:?U T ~
_r
_ DES 3 3 ~o PN'?!
0
. b?s0 8
4
I FURTHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all
other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have ao intention to return to my former domicile, and I intend to remain in
_ _ U C 1 E County,
ICi~y) .
Florida, permanenti; .
t
i
r
~ Y
i
F,. . c_~
r-- ?fir i' /~i~2c~i
sworn to and before me this 3 say of ~c4 ~ ~yc.~
ry oYtM ! v¢.(Z . A.D.19_ ~9 C L- d,ur R eN C E Ca. R ~
Y~
RQGER POITRAS, CLERK OF CIRCUIT GOURT N/N/~ C,gR~~
ST. LUGIE COUNTY, FLORIDA
BY: •
EPUT LERK '
e~~x 321 ~~~E i1~6