HomeMy WebLinkAbout1498 ~eclarati®n of Domicile and Citizen iii . ~ ~
P
4'72U'~5
TO THE CLERK OF THE CIRCUIT COURT.
ST. L UG I E COUNTY. FI.OR~DA:
This is my declaration of Domicile and Citimnahip in the State of Florida that I am filing this day is accortlaaoe. and in
conformity with Section 222.1T, Florida Statutes. ` J
I was [onnerl a legal resident Ot ~ ~ ~ t N CU LS and h .
(City) (sear.)
resided at _ ~ 3 ~ . ~ 4
~ ~ ~ However. I have ehaaged my domicr~e to
ls:~..t sad Nambar) -
and am and have been a bona tide resident of the State otlElorida since ,e, ; ~ ~ ~ day of
19 kU • and I reside at ~
S ~ ~ i,, - `r-o ~ -t~k g - ~T ~
~
(St:wt sad Naanbar)
U~U ~~-l~l~ ~ ~~5--~ ~ ST. LUG I E County. Florida.
tatyl
and this statement is to be taken as my decLration of citizewhip, 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 CHECK:
THE I,R NAMES:
- ~
- a~ y 1960 JAN -9 I~ 2~ 1 S
` OGER POITRAS
- ~LfRK CIRCUIT CQU
- - 4`72U~5
I FURTHER CERTIFY that I wijl 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 ~ ('panty.
(City! .
Florida. permanenti; .
- ~
\ Jh
~ ' ~ 1 C < 1 ~
1
: INa~a 1
Sw and subscn'bed before me this day of ~
`r Jas ~J" c ~ ~ 3 =
` . A.D.1~,~
Rt~GER POITRA CLERK OF GIRGUI T C~~F2T
ST. LUGIE COUNTY, Fl_OR1DA
~ ~ - .
BY: ~ CC c ter--' ...~so-~~
EPUTY LERK ee~~cc~~ 11 p'
- 6~~G1(J~.J P4GE.L~Q~