HomeMy WebLinkAbout1568 s~.oss ~ ~
t~~~la~rafiion of Domicile and Citizenship
i
TO TH E CLERK OF THE CIRCUIT COURT,
ST_ L~.tE COUNTY, FIARIDAr
This is my declaration of DomieUe end Cltironabip in the State qt Florida that 1 am tllin~ this day ip aooordana, and 14
conlormity with SeMign 222.17, Florida 3tatytee,
I was formerly a hgal resideat of De 1 aw are Ohio apd j '
iayl Illastel
resided at 123 North Franklin Street Hgwever, I Mveehu?ged ay domielie to {
Idtrast •a0 Ns~bsd
and am and have been a bans tide rosident othee State otFlorida siAOe the 15th day of
September 10
?_...s ,aadl»stdeat 1640 Seaway Drive
lW+et N4 Nwsbsr)
Fort Pierce St . Lucie County,
ICk~)
and this statement is to >k taken N nw declaration e< eitisenahtp, aetwi le8ei roddeace and domieUe in the State of Florida.
t9L0 SFP 26 A~~ il= 28 _
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~,~:c tnt ~_cck:uu _
Si. QGER P01 i R.ti5~
~EP.K CIRCUIT C01:R3
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i FURTHER CERTIFY that I wql eegister at mur Ioea! address wbeA tM registeation books reopen. and comply with aU
other requirements of a legal resident at this State.
I FURTH~I} CERTIFY that I have no iateatioa to return b my ta~aer dotnkile, and I Intend to romaia in
ort• fierce St . Lucie County,
IC,ityl
Florida. permanently.
,6.~,
e en . son iNas:el
1640 seaway Dr., Fort Pierce, FL
(Addnssl
Sworn to and subscribed betoro me this day of
to
p + .D.1 80. ~ ~ J~' .~~u~~'ti
• ti • .i,~..4- ~
biy Commission expirq /=S / 5~~:- t•t~
~ ~ ~~39 P~1~68
IYo be ssscugd fie dwplhsq a+al ~W Nsd.rlu castle t2ra+1? Ow~t. eaA dwliaa wkA Tss Assessal .
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