HomeMy WebLinkAbout0386 ~ • • • ~
Declaration of Domicile and Cit~zensh~p
482494
TO THE CI.ERR OF THE CIItCU1T OOURT.
ST. LUG I E OOUNTY. Ft,ORIDA:
This is ~ declaration of Domicils and Cltiaenship in the State o[ Florida flat I am Sting this day in tooordanoe, and in
conformity with Section 222.1?. Fioeida Statutes.
I was torme~r
yy a kgat resident of x ~ S and I
1 ) 18taW
resided at - However. I have changed nq domia7e to
(BtrMt asd Noses)
and am and have been a bona fide resident o[ the State of Florida since ~ of
-19_~ and I at
Idtre~
ST. LUG ! E
lat,)
and this statement is to betaken as my decLration of dtisenship. actual legal reddenoe and domicile in the State a[ Florida.
" IF FOR THE PURPOSE Of ENROLLING II:IFOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
TNEIR NAMESS
c ~LlC~i~?
1.980 APR I0 AM ~ 34
- OAICP£CY~ ~
_ CpIK I~
IIL7ihf VERIFIEd
482494
~ I F~JRTIIEB CERTI>!'Y that I wdl register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
I FtJBTHER CERTIFY that I have no intention to return to my former domic9e. and I intend to remain in
J ~ . ~ v ~ ~ CiOtlIIty.
_ lQty) -
Florida. permanenti; .
_
- .
.cs ~ -
" -
~ (AddeoN)
S , (b before me this ~ y day of
A.D.18,.~.~:.
R ER A C ERK OF CIRCUIT COC~tT
ST. LUGIE COUNTY, FLORiOA -
- -ti.
BY: ~ ~
EPUTY LERK -
_
600~K~~ PAGE JOV - j