HomeMy WebLinkAbout1940 tion of Domicile and Citizenshi
Declare p
481652
TO THE CL.ERR OF THE CIRCUIT OOURT.
ST. L UG I E COUNTY. FLORIDA: -
Thin ie q declaration d Domia'le and Citi>oenahip is the 8tats of b'brida that I am Sting this dq in aoooidance. and fa
canfarmitT with Section 282.17. >:lorida Statutes.
i was f
~ a legal resident d ~ n-~1 ~ r _Lt"~`-t~_ and I
itSd71 letaW
resided at ~ 1 /O CAS O.~'J (A.~ . However. I have changed ~ domiAe to
t8awc aea
No~eeel .
. and am and Gave been a bona Sde reaideM d the State d Florida siaoe Y.4Al 19 ~Q daT d
19_.S(L. and I reside u
IOtrMt gad I~i~Mr) ~
~J,% f ~`C I e ~/R ST . LUG I E Flo<~a.
,ICw~
and this statemed b to be taken as mT declaration d dti>penship. actual legal residence and domicile in the State d Fbdda.
Iv FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSESA
CHILDREN IN SCHOOLr PLEASE STATE PLEASE CHECK:
~ THEIR NAME8:
P.r
F ~OI.tJ i2 Y
-
MY NEPNEW~ JEFF M. LOWRY~ IS IN NY TEMPORARY CUSTOOY~ OUE
TO A SEVERE ACCIDENT IN WH1CH~iS PARENTS HAVE BEEN (NVOLVED~
AND vEFF WILL BE LIVING WITH ME.
i
I FURTHER CERTIFY that I wRl register at a~ heal address when the registration boob reopen. and oomph with all
E -
.other requiremeata d a legal resident d this State.
i
I F[JRTHEIi CERTII~'Y thst I have no intention to ret~a to m,T former doaaieDe. and I int~and to remain in
- - U C 1 E Connt7.
ICtt7)
~ T•'briaa, permaneati;. 481652
190 APR -Z Alf R7
~ ~t~: • Fq,EO AMC Ef CO~tLILU
Sf.IUCIE000NtY.F``A. -
ROGER f
01TRA3
% -p.ERK Cpt1'1lIT COU1tT
- ~ - BRENDA L. R i ON
. _
- .
~ Sworn to and anbaen'bed beige me thin ~ dad of
5 A.D.1R~'a
A C ERK I RGU I T Ot~iT
ST. LUG I E COEINTY, FLOR 1
8Ys ~ -
EPUTY LERK ~ -
c
e~ 328 19Q9
AGO Form 71-22