HomeMy WebLinkAbout2353 Declaration of Domicile and Citizenship
48816
TO THE CLERK OF THE CIRCUIT COURT,
ST. LUG i E CO~y, ~,O~A;
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance, and in
eonlarmit~ with Section 222.1?, Fbrida Statutes.
I was iorm~,,, erlr a legal resident of ~ N '9~R C a ~t/ ~ I
U ICit) 1&ab)
resided at < ~ T T ~l ~ < < _ However. I have changed my domidle to
lStnst asd Numbw)
and am and have been a bona 5de resident of the State at Florida since _ ~r e? ~ .ol'
~ p day of
" ~V -19 ' ° - and I reside at ~ ~ix ~~/r ^ f ~ o o
13ttMt asd Numbr)
~i~s''fTAEs Ls~ J& ^IS~IV ~c ST. LUGIE
. County. Fbrida,
lacy)
and this statement is to be taken as my declaration os citizenship, actual legal residence and domiea`le in the S4te of Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSE
CHILDREN IN SCHOOLS PLEASE STATE PLEASE CNECK:
THEIR NAMES.
F lE0 ANL~ t•~- : -1~E0
=~.LUC~C = FlA.
R6"E ~S
RECOp^ • v=
Ooc 1 2 34 P~1'?9
48816
I FURTHER CERTIFY that I wdl register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of tip 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,
(Cicyl
Florida. permanenti; .
& COUIyT`
~`j• .gyp
l~L N SarJ ST fW
~0~'~,a~
amp)
~~~'fZ ~~TL/ S ~5~
(Addrw)
Swore to and snbsen'bed before me this day of ~ ~ ~ S N ~3 j/~ f/ ~ ~L ~
~ ~
RS?GER P01 TRAS.~ CLERK OF C 1RGU1 T COURT
a
ST. LUGIE COUNTY FLORtOA ~ ~
_ .
BY:
..s
EPUTY LERK '
~ -
_