HomeMy WebLinkAbout0685 D~clara~ion of Dor~ticit~ aid Ci~i~e~si~i~
4'7'7196
TO THE CLERK OF THE CIRCUTf COURT.
ST . L UC I E - COUNTY. FLORIDA: .
This is mfr declaration of I>omia7e and Citizenship in the State of Florida that I am 51ing this daT in secordanoe, and in
ooniormitj with Section 222.17. Florida Statute:.
I wru formed' a legal resident of -//4 ~ ~ ~d I
ICit~) tStaW
resided at ~ a~~~ ~ ~IJ~L~ - Ha~vever. I have changed m~ domieDe to
(8tte~t and Nomb~
sad am and have been a bona 8de resident of the State of Fbrida ainoe dad of
= .1pQ
y . and I reside at
(Street sad NnmbH
- ST. LUG 1 E ~,,,,ti.
1 1
and this statement is to be taken u m~ declaration of citizenship, actual legal residence and domict7e in the State of Fbrida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES
CHfLDREN tN SCHOOIs PLEASE STATE PLEASE CHECKS
THEIR NAMES:
19,0 fE~ 26 Nei il= 40
i1LEQ IHL FcCOeiL'FU
SLLUC~E CBLNTY.FIA.
ROGER p01TRAS
CLERK CIRCUIT CC
R~CQRD Yi P.IEt=!l~
4'77196
I FURTAER CERTIFY that I ~l register at mT local sddress vvben the registration books reopen. and eomp~j writh aD
other regniremen4 of a legal resident of this State.
I F'[JRTI~R CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
T . U C ! E . Coaat~,
1~! .
Fbrida, permanenil;. -
~ ~ ~
,~•4~ ~ . ~
to before m,c this ~ ~O d~ of_ ~d ~
. ~ ~ r
A.D.19~_.
H v•,;
- ~ ~ ~ ~ ~ C K OF G f RCU 1 T COC~tT
ST. L~~~OUNTY, f LOR t OA ~ .
- .
BY:
EPUTY L
- E~~pl(t~?U PAID