HomeMy WebLinkAbout0515 D~ctara~ion of Domicit~ and Citii~~n5iii~
.~!'T7U'75 -
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUNTY. FLORIDA:
Tbis is my dec4rstion of Domicile and Citizenship in the State of Florida that I am filing this day in accordance. and in
conformity with Section 222.1?. Florida Statutes.
I was former a legal resident at ~ ;~12
G~ ~ ' r ' ' ~ ` ~ and I
resided d ~
~ t~ .k'T u ~ ;
° ~ - ~ t . However. I have changed my domicDe to
18trrit aad NamD~
and am and have been a bona Gde resident of the State oaf Florida since j;~ ~ e -s 1 l ~ ~J of t
l cr _ 19 a ~ - and I reside at • ~ ~ ~`/S ~ l ~i ~ /lf~'~ ~
e : / , ~
z • ~ ~ . 3 Y s^ 7 _ S T . L UG I Esuec.oa rr~.rt County. Florida.
taut .
and this statement is to be taken as my declaration of citizenship. actual legal residence and domia7e in the State of Florida.
li FOR TftE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHtlDREN tN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
1930 f E~ 25 Pik 2~ 38
_ ED !k4? Ff COii(1LD
` - SL 111CIE CDU;f i Y. f LA.
ROGER POITRAS
. CLERK CIRCU~ 11Rb~_
Q I «i ~ S
I FURTHER CERTII'R that I will register at my local address when the registration books reopen. and comply with all
other regninmenb of a legal resident ~ this State. .
I F[JRTHEI; CERTII''Y that I have no intention to return to my former domieii_e. and I intend to remain in
T. L U C I E Countj.
IC~1 .
Florida. permanenzh.
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~'i~~`~' ~.j r' - !1• (r' / ?G(/C--~ft~' ~i'~1 V I~j~•L ~~L'u _J
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- L • iPcl~:tp !rj before me this ~ d~ - ~ /'-/t ~.'r~ ~i•-L~'L~~ ~ ~ ` ~L ~ ~R~
. ~ U ~ A.D. ig ,.4.
O
ROGER" ' PO I TRASH GL ER K OF G I RGU I T COtdItT
ST. LUGIE COUNTY, FLORIDA
BY: -
E P UT Y JERK 8l;~3~ PAGE X13 -