HomeMy WebLinkAbout1054 Declaration of Domicile and Citizenship
4'71'746
TO THE CLERI{ OF THE CIRCUIT COURT.
ST. LUC I E COUI~y, FLORIDA: _
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in acoordattos. and in
conformity with Section 222.1?. Florida Statutes. ~ / ~ / /
I was formed= a legal resident of _ I ~~'V ~ lJ'" N~ N `f
~ I .
_
resided at I ~ ~y~ ~ r/ However. I have`ehanged ~r domicde to
(str..t.aa IVmoDRI ~
and am and have been a bona fide resident of the S4te of Florida since ` ~ ~ day oi.
19 and I reside at ` ~-Q rY ~ ~Q " v
(~~f ~ ( aad NambR)
p~- ST. LUG I E ~ty~
catyl
and this statement is to be taken as my declaration of citizenship. actual legal r+esideaca and domita7e in the State of Fbrida.
IP POR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSESr
CHILDREN IN SCHOOLS PLEASE STATE PLEASE CHECKS
THEIR NAMES
- - t980 JAN -7 P~ ~ 39
FILED I?NO RECOROi D
ST.LUCtE COlM1IY.FLA.
RnGER O1TRAs
CLERK CIRCU?1 CGw r ~
Recol~n~v~~;F,~ e ~
4~1~4s -
I FURTHER CERTffY tlut I will register at my local address when the registration hooka r+eopea. 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,
(City) _
Florida. permaaenti; .
~'~i
y ^
. ti
!Asst...! _
Swflu and subscribed before me this day of J ( ~
" A.D.19$ _ ~h ~ - 33
OGER POI TRA CLERK OF C IRCUI T C0~2T
ST. ! UC ! E COUNTY, F LOR t~A ~/y e L i N ~ e scc ~
- - ,
9
BY: ~ L , '
EPUTY LERK
- 6nac~~~ P~~-~J`~