HomeMy WebLinkAbout1609 I ..~r-
• i
~ ~ ti~
Declaration of Domicile and Citizenstii .
p
- - 4'7..34
f
TO THE CLERIC OF THE CIRCUrP COURT. -
ST. LUG 1 E COUNTY. FLORIDA:
This b mT deelarstioa at Domie~7~t and (~tissaship in the State of Fbcids that I am ~i thb dAy is aoootdanoe, and in
conformity with Section x.19. Fiocida Statutes.. ~ ,
I was tormerl a kgai resident o[ ~ N ~ ~ ~J - and I-
resided at -3 /1! Q..l-U ~t ~ ~ /~e-~! si4 ~ K , ~
~ - sowee~r. cater .
I have ehanged mT doao~7e to
tae~..t..aHa.as.~ - -
ana amend have besa abona Bderesident of tM Starr of Florida aiaoe /V 4~?l 3 O / 9 7 da,T of
~F1/ _ i>a-Z~. aad I reside at ~ ~ 6 ~R u- n1.Sy •y C ~ .
PQ R T~ S i cBhMtaedNsbwl
~Q , ST. LUG I E County. -
ccael
and thb a4tement is to bs taken ae nq deelaratioa of eitisenehip. setoat bgal rasidsnoe and domie8e is the State, et F7oeida.
IF fOR THE PURPOSE OF ENROLLING IF FOR NONESTEAD PURP05€sr
CN 1 LDREM. 1 N SCHOOL, PlE/1SE STATE PLEASE C[tECK:
THEIR NAMES:
• .
- - - i~ JAN i 0 Nt 38
_ _ . ' FILLED ANO RECIiRUE`U
` ~ ST~LOI~
PC
W
RASA-
CLERK CIRCUIT CQURT -
RECQRD VERIFIEO._-_(~~._
_ _ ~ 4'72.34 ~
I FiJB'rHER CERTIFY that I w~71 register at my local address when the registration books reopen. and oomplT with all
of her regniremente of a legal resident of this State. . i
- f
I FURTAER CERTIFY that I have no intention to return tom former domia7e. and I intend to remain in
a' . _ U C 1 E ~ - „County.
. 1~7) _ 1
Florida. permanend;.
}i}
- - i
~OU~dTy ? ,r~
~ ~ ~ : ~
v=.. ' '
t
Sworn to cif u'm fore me this ~ day of o R ~.5~ ~ ~~Oz-.t~ _ ~
_
~An~~ aR1/ -A.D.1 ~
ROGER POI TRAS. CLERK OF C IRCUI T COtd2T
ST. LUG I E COUNTY, fLOR 1 DA ~ -
EPUTY IERK
_ g~323 P~~~600 ~ ~ -