HomeMy WebLinkAbout0498 Declaration of Domicile and Citizenship ~
498'751 -
TO ~ R.ERR OF TAE t~IiCUIT OOtIAT.
ST. LUC I E ~pUNTY. ~,OgIpA; -
This b np dedaratioa d DoanieiM and Cltisenship is tbe.8tste d 97oeida that I am ~ this ds,~ is aaoes~daaas. sad is
• oonfasmitT with Seetioo F2E.lZ. Floeida~SJtatnt~ea.
I was i~ a kgal:+eaidsat d ~
,,too T~~..~.FG ~'~1 •tu•~ • ~~-R.- ' , and I
• 1CT4) l8t~a1
resided u R. D 1~ /~.o?G 'Y U ~ / ~ ,tl~tswl.~ ''t%~J.. ~ ~ _ Ho~w..ar. I blue ebaosed mT domielle to _
l3Banst asA Ns~MN - _
and am and have been a boas fide resident dtbe State d9~orida siooe ~~ff~~l~ _ ~ d
19.~~ and I:elide at ~ / - A 1'a~-c-~'s-~~ /.22~.u/
te~..c saa3ri~b~e)
n~L2r ~ _ ST. LUI' 1 E ~.97oe~a.
10141
sad this statement b to bs tsba a. mP devaratioa d dtiaenship. aetnal Meat reaidenoe and domie9e is the State d P7orida.
I F FOR THE PURPOSE OF ENROI.t. I NG I F FOR MONESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NANES2
_ o l o K~eY i ~ J.... 1980 SEP -8 ~ 11 ~ 47
- F4.EO 31N0 PECOnDi:O
S1.LUC1E COUNTY. Ft A.
- ROGER POITRAS -
CtERKCIRCUIT 0013
e3:cuQr, rfRi3.1Fn. C~.- ~
- - 498'7S1
I that I wID w
F'IJIiTHEIt CEItTII~R reg~r at ~ ioeil address ben the rea~strat~oo boob reopen. sad eomp~ with aII
other regniremeots d a legal resident d this State.
G - -
C I FtJA'Pl~li CEIi1'!t'Sf tbd I have no intention to retmw tom former domieGe. and I iat_ead to remain in
_ _ _ ~ U C ! E . Coant7.
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V~~F~QWJT`(•E~~ DAD ~ r !U/ilt1~
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- swore to sad wb.Qib.d betoee me this 9 daT d
~ -A~.~~ O (I~uNoz)
•
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ROGER POITRAS. CLERK OF CIRCUIT COtA2T
ST. LUG 1 E COUNTY, f LOR 1 OA ~ j .
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EPUTY LERK ~
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