HomeMy WebLinkAbout1711 _ s.
.4418381
TO THE CLERK OF THE CIRCUIT COURT.
ST. lUG I E COUNTY, FLORIDA:
This is my decoration of Domicile and Citiseaship is the State oaf Florida that I am filing this day in accordance. and in
con[ormity with Section 222.17. Florida Statutes.
I was formerl9 a legal resident ~ f~~• rte-rr.~ ~ _ ~ G.. ~ I
ICityl (&ate)
resided at ~ ~ il/a . 5 s ~ T . However. I have changed my domicile to
13tiaat and NumDarl
nail am and have been a bona Sde resident of the State of Floridasince ~ O day ~
Aga G . .19.1(... and I reside at _ - /S ~c'n,i ~ t/.4~.v, Lw/,,. /
tr«t nail NumDar)
_ ~-Yt cr_-' S T . l UG I E County. Florida.
1(attTl
and this statement is to be taken u m7 decoration of eitiunship. actual legal residence and domicile in the State of Florida. '
IF FOR THE PURPOSE Of ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEiR NAMESS
FLED AM`' . -UED
Sl~. LUC?f _ ~ • ~ lA.
R;.;::: ~ - ~ ;
CLEF! , ; i _;:1.~RT
RECOA^ : ~ ~r
- Dec 5 2 ii P~'14
458381
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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 to m}; former domicile, and I intend to rennin in
3 T_ U C t E ,County.
((:kyi
Florida. permaaenti; .
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Sworn to and ~ fore me this day of _ ti ~ . rC L c e~y, ~l_, 3 3y '
S~S~ N Ti
~cKeK./
ROGER POI TRAS, CLERK OF G IRGUI T COURT
ST. LUGIE COUNTY, fLOR10A
BY: _ -
EPUTY LERK
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