HomeMy WebLinkAbout2302 Declaration of Domicile and Citizenship
. 48U0'79
TO THE CLERK OF THE CIRCUIT COURT.
ST. L UG I E CpU~Y, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am 61ing this day in accordance, and in
conformity with Section 222.17. Fbrida Statutes.
I was formerly a legal resident of ~~'u.P/~~-e N LdR/DA ~ I
ICit~l 13tabl
resided at _ Q/P,f t.1?~C PS AP.r~iifp,ujs However. I have changed my domicle to
18tre~t asd Nun?Dw)
and am and have been a Dona Ede resident of the State of Florids since ~ Ind day d
~'-~eQ .19
~7
- and I reside at ~~3 S~E ~,dt2kiJc~oo .
(Stee~t and Nnmb~r)
S~ i e ST . L UG I E County. Florida,
ICi4)
and this statement is to be taken as my declaration of citizenship. actual legal residence and domiale in the State of Florida.
` IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
oso NCR ~ s ~ r oa
~+LE_Q one FECOlwEa
S
ROuGER
PO
TRA~A~
CLERK ClRCUtT COU T
tCCQ!!i VER'fir^_
4800'79
i ~ I FURTHER CERTIFY that I ~ register at my local address when the registration books reopen. and comply with aD
~ other requirements of a legal resident of this State. ,
~ I FURTHER CERTIFY that I have no intention to return tom former domiule. and I intend to remain in
y
Lucl E
(CStyl .County.
Florida. permanenti; .
e
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Sworn to and subscn'bed before me this ~ ~ day of
f
~ A.D.19~~
4
s ROGER P01 AS. CLERK OF C IRCUI T COt~2T
ST. LUGIE COUNTY, FLORtOA
BY: _ ~
EPUTY LERK ~''J ,
$00 cJ~? 1 PLGE~.Wl~
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