HomeMy WebLinkAbout0010 Declaration of Domicile an itiienship ~
~f
494~i99
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUNTY. FLORIDA:
This is my declaration of Domicile aad CitiseashIp is the Sta4 of Florida that 1 am tlliag this day is acoordaaoe. and b
oonformhy wltb Saetloa.222.17. Florida Statutes.
1 eras former a legal resident d ~ < ~ ~ and 1
Ipyl 1&ab)
resided at . A ~ A- b n 2 ' ~ ~ EG - Howevet. I have changed my domicile to
Itlv«t asd Nueb~rl
and am and have been s bona Sde resident of the State d Fbrida sines ~ ~ 1 ~ ~ day d
J =19~Q and 1 reside at 11 l~ 1 N ~ ~ d l ~1~U U n ~ ~ 1 ~ ~
~1~`~
. (8t+wt and 1
F ~ _ ST . L UG I E County. Florida.
ICky?
and this statement is to be taken as my declaration d dtiunship. actual legal residence and domie~7e in the State d Fbrida.
If FOR THE PURPOSE O~ ENROLLING 'IF iOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
1980 A'.;~ -4 ~1! I S
g~ROQ~A POITI~A~~
CIERII CtRpJIT CQlIRT
RECQRR \TRlfif 7_ _ _
. - 494899
i
! I FURTHER CERTIFY that I w~71 register at my local address when the registration boob reopen. and comply with all
other requirements d a legal resident of this State.
r
t I FURTHER CERTIFY that I have no intention to return to my former domicile. and I intend to remain in
~ T Luc County.
~ _ (cny) ,
Florida, permaaenti; .
C ~a=
~MCOUN~,
~~ce Kd ~ ~ -
. ~U~ ~~Ufif:TY, F~~ ~ ~
~ '~C
INS)
. Cis Tr, ~-n~.? r± ern ~e~ o
cA~..., nn
- sworn to and subscn'bed before me this ` day oI ~J ~ ~ ti f~ ~3 ~o
i (mac' A.D.i O
_ '
ROGER PO I TRAS. GL ER K OF G I RGU 1 T COt~2 T .
~ ST. LUGIE COUNTY, FLORIDA
~ • w
BY: ~ ~ ~
EPUTY LERK
.
- _ _
. ,?R~c~+ 10