HomeMy WebLinkAbout0301 f
. • n S~11 .
ration of Dom~c~le and C~t~ze p
ti,-,, Dec1a
X96938
TO TH$ CLERK OF THE CZItCUIT tDOURT.
ST LUG 1 E COUNTY. F'jpRIDA: ;
in the State of Florida flat I am IDina this d~ ~ +~~°O0• and ~n
11sis is my declustion of Domic~7s and (yttisenship i
ooniormit~ with Section 222.1?. Florida Statutes.
• ~ and I
A Y
I was iormet a legal resident a ` late) - ~
. however. I have thaoged m7 done 5
resided at I&~R,tdN,amb.rl d• da, at I
and am and have been a bans bde resident of the State of Florida sins
A o _ 19~p__.. I reside at ~ ~ 9 ~ t8e*«~c N"mb.r1
ST. LUG ! E Count7. Florida.
• tabl adnv reaidenoe and domicile in the State d FloReda• .
and this statement is to be taken as m7 declaration ai dtirenshiP.
i ENROLLING If fOR HOMESTEAD PURPOSES
1F POR THE PURPOSE OPtEASE STATE PLEASE CHECK:
CNitDREN iN SCHOOLS
THEIR MANES:
- IP,. c c I/ . s~ e ~ R 1980 AUG 2 I Ali 57
. -
FKEO sl1D FECOkGEO ~
SLL COUNiY.FtA.
_ ~r RR POITRAS
CIFRK CIRCUIT CO'1 TD -
- 496938
. .
when the registration books seopeTM sad coaospb ..ith ~ '
I FtJR'fHER C that I will register at m7 loeii address
~fl ~,heT ngmremeata d s legal resident of this State.
CERTIFY that I have no intention to return tom former domicile. and I-intend to remain m
I FURTI:iER U G E Conntj,
Icst~l -
Florida. permanenu;
~ ~
v`f -~-~-~,s;~ - G -
a~: :~o ~
. Ill
S.?orn to and subsuibed before me this ~ da7 ~ -
~
A.D.1$~~
R^v~R ont'rQdS CLERK OF CtRCU1T COtdRT -
ST. LtJG i E COUNTY f LOR t OA ~ -
BY • -
• EPUTY LERK
- -
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Af;(1 t'nrm Tt 7l