HomeMy WebLinkAbout2561 •
Declaration of Domicile and Citizenshi y"
P
_ s
r
ToTaECI.>~ucoFTHECI>;ccrrroovl~T. 481991
ST. LUG I E ~pv~y, ~,p~pA;
This b m7 declaration d Domiet>e and (gtisenship is tbs State d Florida that I am wing this dq iD aoooidana. and is
oontocmitT wltb 8setiao 2i~.i?. I.7oeida Statutes.
I was f n, r a legal resident d ~ ~ M r ~ + r ~ _ V I G / ~(1~_ and I
Iqy) let~tel
resided ~ /
L 3 `d ~ SP I J.:l, zv I;~ Y ty ~ _ _ However. I have changed aq domidls to
18aMt atl Ntsl~e)
. and am and have been a boaafide nddent etths State d T'7orida ainoe - v -~F, Q~ T dyr d
1 r~ ~d1~RY ~ lii~~ and I reside at ~~fo S ~ . ~..v ~,R _ 73FAr,~TRC~/= ~6 43
Isu••t•adN•~l .
F-r. ~~~~~,r ST. LUG 1 E
laa~
and this stateme~ is to be takve as ~ declaration d eitiaeaship. actual legal rssjdenoe and dosnieijs in tbs State d)!7orida.
IF fOR THE PURPOSE OP ENROLLING If POR HOMESTEAD PURPOSES,
CHILDREN iN BCHOOL, PLEASE BTATE PLEABE CHECKS
~ THEIR NAMES:
`
-7 Ott=~6
t1FRK CMKtItT EMIRT
Ili I >r'[JA'1'HEIi CEATI>•'Y that I will register at mT ]Deal adde+ess when the registration books reopen. and oomph with aII
other regoiremeats d a legal reaide~ d this State..
I FtJATHER CERTIFY that I have to intention to return to mT farmer domin7e. and I intend to remain is
UCIE ,~T,
IQ4)
9 b7orida. permanenr~,•.
• / J,
- -
;c_. a Irr.:~
% 1~ D O Sr.. ~ c .r~.'~N 7)Ip . R!-`.7CKrR~1T .3 (eft
..'r ' ~ -
r ~~;`S IAdiM~l
' i jmd inbseribed before me this dsT d ~1'-t ~ n r ~ r2 c~~ Fc !a- ~ ~ ~l 5~
8
~ _ .
ROGER PdITRAS. CLERK OF G IRGUI ~ COt~tT
ST. LUG 1 E COUNTY, f LOR t OA ~ -
.
BYs a
EPUTY LERK -
80
0~ t~
k