HomeMy WebLinkAbout0009 Declaration of Domicile and Citizenship ~ f ~
494898
TO THE CLERK OF THE CIRCUTf COURT.
ST. LUG 1 E covrrrY. FLORiD~:
Tbis is my declaration of Domicile and Citireaship is the State of Florida that I am 51iag this day in aoeordanoe. sad in
eoaformity with Section 222.17, Florida 8ta
l was former • legal resident of ~ ~ ~ ~ ` ~ ~ ~ ~ ~ ~ I
/ fat 1 Iseac.)
resided at ~x ..T ~3L ~'1-~ ~'PA i v ~ ~ _ However. I have changed my domic~e to
(~r..t.na Nome.rl ~l
and am snd have been a bona Ede resident of the State of Florida since ~y ~ ~ ~ ~ I ~a ~y ~
19~. and Ireside at ~ ~l ~~'P~R°'~ CiXc%°
asd N®bt)
~o ~`-1-- ~ ~ ~ c~ C i L° _ ST . LUG I E County. Florida.
lacy)
and this statement is to be taken as my declaration of dtizs~hip. actual legal resideaee and domicile in the State aI Florida.
IF FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR AMES:
a/ C/qi~ ~c°,~'
r X80 au6 -4 Ale ~ t 4
- ~ EILE eEN~Cpf~tp~eTO~o 0
„/TP,~ S R0~6EI R POITAA~A.
. CLERK CIRCUIT COU~ f
' RECORD YERIFIEJ 7
494898 .
~ I FURTHER CERTIFY that I will register at my local address when the registration boob reopen. and comply with all
other requirements of s legal resident of this Statc.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile. and I intend to remain in
~ U C E County.
E _ (CAy)
Florida. permanen~i; .
COUNTY
Vim. ~ -
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U
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4
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Sworn to and sabscribed before me this day of ~ 7 ~e~ ~PP~ ~ ~ ~ .
-ROGER P01 TRAS, CLERK OF C IRGUI T CO~tT .
ST. LUGIE COUNTY, FLORIDA ~ -
•
- - BY : ~ IC.R, ~
EPUTY LERK ~ -
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