HomeMy WebLinkAbout1027 j-
Declaration of Domicile and Citizenship
x'79309
TO THE CLERK OF THE CIRCUIT COURT. ~
ST. LUG I E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am Qing this day in accordance, and in
conformity with Section 2?2.17, Florida Sta tes.
I was formers a legal resident of i. and I
~~y--_j IG~tyl ISwel
resided at ~ ~ ~ fi ~ . However, I have changed my domicile to
Isaet.aaNumt~, i~ K.~2C~Z
and and have been a bona fide resident of the State of Florida
sQince/~ " day of
19 Ll and I reside at /y ~~~~L'L- Q'1~
f 1 (3trest.adNamberl
ST . LUG 1 E County, Florida,
1(~cy)
and this statement is to be taken as my declaration of citizenship, actual legal reaidenee and domic7e in the S4te of Florida.
" IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
TH~,NAMESS
" ~s.0 tla~~ t 3 37
s~~
tibQE~~ Fi R".~~~i?.
~f:aK clRClnt clu,tlt
Rcco~e vr.111F.f~_.~.~
4'79309
I FURTHER CERTIFY that I will 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
U C 1 E .County,
IISd7, _
Florida. permanenu; .
? , C~~ ~
_y ~
.
.
1~•,
Sworn to and subsr~ed before me this ~.1~ day of J ~ 2~ r}'~ . ~ C- U
~ ~3~~a
~
ROGER P01 TRAS. CLERK OF G I RCU 1 ~ C0~2T F~j "u r Sc a rc
ST. LUGIE COUNTY, fLOR10A
BY. ~ - T
EPUTY LERK
~ tltt PdGE
elms< , .
+r.~ F~_-~ 7t ~1
e~ _