HomeMy WebLinkAbout0491 Declaration of Domicile and Citizenship
48255'7
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUNTY. FLORIDA:
This is my declaration of Domid`le and Citisenship in tbs State o[ ~7orida that I am Sting this day in aoooidanos. and in
conformity with Section 222.17. b'lorida Statutes.
I was forme a resident of S~'4a\~~\ .~~Q~ ~ .~`~~a and I
resided at ~ Ok ~ - However. I have changed aU dials to
t8tewt aad NasDK)
and am and have been a bona Sde resident of the State of Fbrida since ~ c ~ ~
~~a~e~ ,_.19~ and I aside at ~ ~ s~`N~
` 18trNt aad Namb~N
• S> - l~yC.~ ~ ST. LUG I E County. Fjoeida.
Icuy)
and this statement is to be taken as my decLration of eitisenship. actual bB~ residence and domiale in the State at Florida.
" IF FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES,
CH 1 LDREN 1 N SCHOOL, Pt.EASE STATE Pt.EASE CHECK: -
THEIR`NAMESt \ \ -
~ 1980 APR 10 PM 2~ 05
~ - \ `1~~`J ~yZ:Z,~ S E~I~OITR SA.
- CNlglli C9tN1 -
- - ~ VERtilEO
48255'7
I' I i•'[JR'PHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all
I other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former and I intend to amain in
r....
~ - - _ ~ . ~ v ~ ~ .County.
IlScyl •
~ Florida, permanenti; . -
c~E CCUyn •F~
- (/W~)
- Sworn to and snbsrribed before me this ~ day of
.A.D.l~~.
i - -
ROGER P01 TRAS. CLERK OF C IRCU.1 T COC~ZT ~ 6~~ S, ~I o s C v 22 A
ST. LUGIE COUNTY, FtOR1DA -
• -
- EPUTY I.ERK
.
BUUK PAGE - ; .
AGO Farm 71.22