HomeMy WebLinkAbout1387 ' aw
decta~~ ~ ~ ~~~c~~e ar~~.:~~ ~~zensh~~
4Ei8161
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUC I E CoitNTY. FLORIDA:
This Is my deeJaration of Domicile and Citizenship io Lbe State of Florida that I am Sling this dy in accordance, and in
rnnformity with Section 222.17. Florida Statutes.
I was formerl9 a legal resident of ~ ~ I ;
ICit7) 1 )
resided at _ ~ ~ ~ t . However. I have changed my domicile to
IStrst sad Nnmbwl
and am and have been a bona fide resident of the State of Florida since ll.~-~~ dJ day ~
t / .19~ and I reside at ~ -
T. ~lu^-~- ST. lUC I Es~..ca.aName.r)
11sty) County. Florida.
and this statement is to be taken as my deelantion of eitisenship. actual legal residence and domicfie in the State of Florida.
i
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES, ,r
CHILDREN tN SCHOOL, PLEASE SLATE PLEASE CHECK;
THEtR HAMES:
'
Fj,jLEO ANt~ r?:, •:UEO
- CLERY. ~ ~ . _:1 :.JURt
RECCA' ~
. - Oar ~I 142 P!~'l9
4~iS16~-
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 no intention to return tom former- domicile. and I intend to remain in
U C 1 E ~ County.
((ig) _
Florida. permanenti; .
~T-.;
' - '
~ ~ - (Hams)
IAddrw)
Sworn to sad subacn'bed before me this day of '
7 C C A.D.l9:
- R G R P01 AS CLERK OF C CUi T COURT
ST . L UG I E COUNTY, f LOR ~ oa
BY:
U T Y L E R K 8Q0~ 32~ PbQE ~~K7i)