HomeMy WebLinkAbout2352 Declaration of Domicile and Citizenship
. 458815
TO THE CLERK OF THE CIRCUIT COURT.
ST . LUG 1 E COUNTY. FLORIDA:
This is my declaration of Domicile and Citisensbfp in the State of Florida that I am filing thL day in accordance, nail in
conformit~r with Section 222.17. Fbrida Statutes.
.I was former a legal resident of ~ 6 V ~ w T ~ ~ y ~ _ C O'y and I
I~ty) IStaa)
resided at ~/g L G r 7 T ~ L ~ ~ • . However. I have changed my domicile to
ISteet and Number)
and am and have been a bona fide resident of the State of Florida since ~ K ~ ~y ~
/yQ 19_~ and I reside :t ~ / t ~1 T E ~ H s L oo ~i -
/Y~ t ~ t ft . J,~•~ J ~ e K _ ST . LUG 1 E~ asd tiombar) County, Florida,
lave -
and this statement is to be taken as my decLration of citizenship, actual legal residence and domicile in the State of Florida.
If FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOS S,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
/ lED ANi: r~ ..~.tJEO
=~.lUC1E ~~:,~kTr FAA.
ROGE:+ ~ ' ~5
CLERE. , I ~~UR
RECOR!` :F~iF
Qua ~ 2 ~ PM'19
458815
~ I FURTHER CERTIFY that I w~11 register at my lord 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.
1(Sty) -
Florida. permanents; . '
i
J t' ~.~'i
j~ ~ O~ C~GG C~
. Nii1~~ 1 - - -
7 33
Sworn to and snbern'bed before me this day of
- o ~ / . A.D.19_ ~ /
- _ '
ROGER P01 TRAS. CLERK OF G 1 RGU 1 T COURT
ST. LUGIE COUNTY, FLORIDA - y
' - ~
BY :
. EPUTY LERK ~ n
aonx 321 p~cE 2349 _