Loading...
HomeMy WebLinkAbout2822 • - ~ i. • ~ • ~ a. h Declaration of Dom~c~le and Cit~zensh~p ~I/ - - ~ 4'72864 - To TII~ cI~ ofTBE CutCUT'r COURT, ST. LUC 1 E OOUNTY. FLORIDA: - etr-- s- -~~w~.i....u. ....1 to This b my deelaration of Domla7e and l.Yti:snsoip is sae otas. ui ~ waai~ : ~ :::We . - aonfocmity with Section ?22.1T. Florida Statutes.. - I was former a legal resident of ~ ©Q 'f 1+ i ~ T~/t]~ _ / D _ and I- - tC'tt~t (etatd resided at ~ ~o O ~ L E Jy ~ Q _ However, I haw changed my domir~7e to (Straat and Nombael and sm and have been a boas fide resident of the State of Fbrida since ~ day of 1/ y~. ~ ,.19.1,. and I reside at f-~- I ~o S A N ~ 12 ~ V (Straat and Nambar) m l? S ? _ 1. lJ ~ l L ST . L UG I E county. Fkrid•. (C~l i and this ata_ tement is to ba taken ss nqy declaration o[ eitisenship, actual legal rasideace and domidle is the State of FFloriida. - ~ IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSESr CHtLOREN IN SCHOOLa PLEASE STATE PLEASE CHECK; IZ%~I jj~ THEtR NAMES: ~ ~1 _ , • R r1 _ 1980 JAN t 7 AH ~ 59 - - ~ S EO MC PfCOR0E0 3 UC COUNTY.FLA. - _ POITRAS ClFR1i GRCUIT CW~tT t~ ' RECO!tD ~'ERlFlFD_~_ Q~"._1~C J f . - 4'72864 - ~ _ - s i - I FIJRTITER CERTIFY that I ~l 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 ` i. ~ U C 1 E .County. Florida. permaaenri;. - f & (',Q(~ S t11 , ij r"..'.ti: ~Y ' ~f :p V - :G CGii#iY, ft~ - .p,~~ f - 4?~ s ~ ~eJ J cAda~..•l _ Sworn to and subscn~ed before me this / ~ day of _ f T ~ ~ JC 1 C , ~ ~ Iq • ~ ~ ~.f ROGER POITRAS, CLERK OF CIRCUI T COtdRT ST. LUC1E COUNTY, FlOR1DA - - _ EPUTY LERK _ 8~3~'3 p~~281.1 ~ ~ ,