HomeMy WebLinkAbout1202 Declaration of_ Domicile and Citizenship
49'7498
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E COUNTY. FLORIDA:
This b ~ declaration of Domidle and (~tiasnsbip in tbs Stats at Floeida that I am ~ this dq in aoooedanoe. and io -
oonformitp witb Section 228.17. Florida Staxtutes. / ~ ~
I was f
~ a kg t resident of _ __.~/ii' U i LS 1,~ ~C ~ A 1~/J~ and I
resided at ~-,~D ~ J~~ ~ u~a1 lew.~
- However. l bow changed ~ domia7s to
18~Nt~eadNa~6~t) -
and am and have been a bona fide resident of the State of Florida since ~ ~ n ~ i~~~dy of
1 l~~and I reside at `I'
Sf~ -S~ .•LA~ Si 0~,~ ~A t/
tsa..c..a Ii.tab.r)
- 'ST. lUG I E Coenti.F•loeida.
coral
and this ststement is to be taken as aq declaration of eitisenship. aetnal isgal residence and domidls is the Stets at Floeida.
• IF FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAO PURPOSES,
CHILDREN tN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
~~:~Tv
1~~
- 1980 AUK 21 AK ~ 18
-
F a+ro A~coKoEo
s~~
Po
r~
RASa.
aaat cn~cwt cr~
- 1~fC{Mt0 VERIFtEit...~ i _
49'7488
'i I FURTHER CERRT'Ih'Y that I w~11 t~egister at mT kx~l address when the registration boob reopen. and ~Pb with all
'i other regnirements at a legal reaide~ at this State.
i
~ I FiJRTBER CERTTFYY that I have no intention to t~etnrn to former domia7e. and I intend to remain in
I
_ - uclE
_ hSal
Fbida. permaaensi; .
E
I
•
~ L,: t _
i 3~Aw~~ ~ /
~ - Sworn to and subscribed before me this ' a 7 day at f~ 3
. ~ .
A.D.1n~; MRS . A ~ R E LiniE 7• ~o6eRTS
ROGER PO I TRAS. CLERK OF CIRCUIT COtdtT
ST. LUGlE COUNTY, FLORIDA .
'
EPUTY LERK '
~ .
_ .
O>< t
AGO Forth 7l •?2