HomeMy WebLinkAbout1062 • Declaration of Domicile and Citizenship
TO THE CLERIC oFTHE ClRCUlrroovRT. .4.9'7420
ST . LUG 1 E OOUN'i'Y. FLORIDA:
This b ~ declaration d Domkiie and tktiaensbip is the State d Florida that I am ~ this dq i, sooordaaa. and ie
coniormit~? with Section 2?.R.17: >p7ocida Statutes. M
I was i t r a legal of ~ TI~ l
111 l` C and I
~-r~- IC1M,~l
resided at ~ ~ ~ 1 i ~ However. I 6avs ebaoaed nq domidk to
(8tawt aad Nr•!wl
and am and have been a bona Bde resident d the State d Florida since ~ ~ ~
~ dq d
S V ~ L 19 o v - and I reside at ~ `"f ~ t V k~~~-~S 1.s ~.'T'~ V
~ lBteMtatlll~¦i~r)
J~ ~C~ ST. LUG 1 E
coal
and this statement is to bs taken as m7 declaration d eltiaenship. actual legal resideaee and domicile in the State d Florida.
IF FOR THE PURPOSE Oi ENROLLING ~ ~.Ii FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKZ
THEIR NAMES:
4v'74~
~0 au~ 2s P~ i= 4 ~
- -fM.EL~ ?MC FECOROEO -
btlUC~ TY.fIA.
.tEE~
CpICUiT COURT
•RECOitII YERIiIE~_
I FURTHEB CER1'1FY that I w~71 register at ml soul address when the registration boob ~eepea. and aomplT with all
other requirements d a legal t+esideut d this State. t
I FUR1~ C'ERTIF'Y that I have no intention to r+etura to farmer domir~'le. and I intend to remain in
T. ~ u c ~ a Ca®tj.
_ lCttj) _
Fbrida. permanend; .
. J
4:- --.•i-. ~c
.~s?.- UWi..d
sworn to and snbecribea befa~e+e me this a 6 aj d ~~SEN ~ ~ ~ Fc.,~ ~ 3
• C~f~ ~ A.D. i
. t
ROGER POI TRASH CLERK OF CIRCUIT COtdRT
ST. LUGIE COUNTY, fLOR10A
•
_ EPUTY LERK cc~~cc~~
B~KJJ7 PA6F~~ _ -
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