HomeMy WebLinkAbout1696 :i
. Declaration. of Domicile and. Citizenship '
i
499385 .
TO T~ Q.ERR OF T~ CiZiCU1T WURT.
ST. LUC 1 E OOUNTY. FiARIDA: - •
~
- ZLb b ap dseL:atioa e[ Domoio'le gad Gltissnship io tLe State oI >!7aeida that I am SIinE this dq is aeeordaaoe. sad is ~
• eootccmftJ wits Seating x.17. Floeida Statutes.
I was xr a ksai s'
esideat of ~~A L - _ [ l ~ d and I
resided at ~ ~ L~U ~ ~y IZO A D - • - 8ow..~ •I6a.~.~a m~, ao®idi. to _
• .
and am and Lan bean s bons iide resident d the Stets ci F7oarida ainoe r ' ~ l~ ~ ~ ST T dq d
- 1~ nv - gad l reside at c~ ~ o ~ 6 l~ a~ ~ ~ ~w~.
ST. LUG I E
ta4~
and tLis atatemeat is to bs takes as nq dsaLratioa of e3tisensLip. actual legal reaideaa and domia'le io the State ei FSaida.
" IF FOR THE PURPOSE 'Of ENROLLING IF FOR HOMESTEAD PURPOSES.,
CHIIDREM IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMESS
- 1980 SEP 12 P>d ~ 49
ctt.EOat~FfCOiw 0
ST~IO~GER
POITRA A• ?
CLERK CIRCUIT T r
RECORO~ERIilEO_
~E
.
499385
I FUR'1~:R that I w~ register st aq local address when the ton boat :copes. gad oomph wltL aD
other regaa~ of a kcal ~aodent d this State. - j
_ is
I FtJATl~K (~RTIFY tLst I have no intention to return tom former domia7e. and I intend to. remain is
_ - uctE
- - . ComrtJ.
_ tacit .
j Flossda. permaneaii;
. -
f
E
E
E ?
• t .
~vr t ~ 11JT
j~,. ~
~~f~
i `'cuyty
~ - Otr1 . .
~ . ~ 1 t?ii..,,1 .
~ ~ Swoesitoaad sabaarmed beiioes me tLie ~ dq ~
- A.D.
~ RJR P017RAS. CLERK OF' CIRCUIT C0~2T
ST. LUG1E COUNTY, FLORiOA ~ ,
• - _
_ . EPUTY LERK ~ -
- -338 p~E169~ - ,
E - 1 ~
• 1 F~
-13 - - - ~