HomeMy WebLinkAbout2241 Declaration of Domicile and Citizenstii .
P
4'72493
TO THE CLERK OF THE CIIiCU1T COURT.
ST. LUC i E COUNTY. FLORIDA:
This is my declaration oI Domid7e and Citisenahip is the State ad Fbrida that I am Slioa this day in sooordanoe. and to
conformity with Section 222.17. Florida Statutes..
I was f
=r1~ a legal resident of A T E' ~ ~ _ M A ~ tit ~ and I- .
(Qty1 (StaW '
resided at - -3d C~ v ~ ~ S ( However. I Gave ehsaged ~ domie~e to
(Str.ac and Nambar)
and am and have been a boas Bde resident os tha State o[ Fbriida since ~ y h day of
19~~.. and I reside at ~ h r2~
~ _ i8treet and Namberl
s c ST. LUG i E County
tcu>>
and this atstement is to betaken as my declaration of citizenship. actwl legal residence and domide in the State o[ 1:7orida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CNlLOREN IN SCHOOt., PLEASE STATE PLEASE CHECK:
TNEIR NAMES:
1980 JAN 14 Pik 12~ 47
_ _ f ANU PECOh0l0 i
CIE COUfITY.fIA.
/lpGER POITRASs
- _ I1~E11K CIRCUIT CDUIjT ~
_ _ R[~II0~1fERIFtE9___$ j
4'72493
I FURTHER CERTIFY that I w~71 register at my local address when the registration books reopen. and comply with all
other regnirementa of a legal resident of this State.
I F'IJRTHER CERTIFY that I have no intention to return tom former domicile. sad I intend to remain is
i~t~ T C i E ~ County.
((Std) .
Florida. peraianentl; .
b CDU
~
' ~ (Name)
`~~ar~d (Addrsaa) .
Sworn to and snbscnbed before me this ~ day of '
A.D.1~ 8 0 . - S;.c'77 CttA d~
ROGER PO I TRAS. GLERK OF C i RCU i T COrdFtT
ST. LUGIE COUNTY, FLORIDA - -
' EPUTV LERK '
' -600K~~ PdGE~a:?J~