HomeMy WebLinkAbout2923 Declaration of Domicile and Citizenshi `l ~
p
4~U414
TO THE CLERK OF THE CIRCUIT COURT.
ST . L UC 1 E CpU~y.. FLORIDA:
This is my declaration of Domic7e and Citizenship in the State of Florida that I am filing this day in accordance. and in
conformity with Section ?22.19. Fbrida/S~tatutes. / p
I was fob a legal resident o~ D h o N o f~' /1 ~1 / E and I
1 S f o c, k~ ~e v e 1(~it,l ~stac.l
resided at ~ ~ However. I have changed my domicile to
(Stew and NumDK) 11
and am and have been a bona fide resident of the State of Fbrida since T~! / u S d I~ V • day ~
d` ~ 19_~~ and I reside at S~ 9S r ~ Se ~ 1jO u S @ D r
tBtrNt aid Number)
Po r 21' .Sze- ~ t, c ~ e ST. LUG I E County.
can)
and this statement is to be taken as my declaration of citizenship. actual legal residence and domic7e in the S4te of Florida.
J IF FOR THE PURPOSE OF ENROt.t.ING IF FOR NONESTEAD PURPOSES,
CHILDREN IN SCHOOt.s PLEASE STATE PLEASE CHECK:
THEIR NAMES:
1~1 i c_ ~ a e ~ .~N-!' z~ Li I98O kAR ~ ~ Ph tZ~ Z S
S~t~E LWIilI
YtFE``A.
~r~ Y s ~9 ~ 06ERPOfTRAS
11 / t~fRK GRCUIT fJ
~ n ~ W S I'h L~ R'ECOR! VERfF!!:D_
-48414
I FURTIiEB CERTIFY that I w~71 register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this S4te.
I FURTHER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
` U C 1 E County,
!(St,)
Florida. permanensi; .
i '
COUIyTr
/ i
5~ S. SP ~ ~?cusF ,G~v
p eaare.a
sworn to and snbsenbed before me this ~ ~ nay of 1 ~ r ~ S ~ . ~ H C ~ P
s
. A.D. Ig V
ROGER P01 TRAS, CLERK OF C IRGUI ~T COOT
s
ST. LUGIE COUNTY, fLOR1DA
. ~
BYS ~ i_ CJ
EPUTY LERK ~ .
'r
BU
KJ~.~ PaGE~:~l
4 (gin Pre,.m i l 71