HomeMy WebLinkAbout0302 Declaration of Domicile and Citizenship
5020'x'1
TO TSE CLEItR OF TAE CIItCUIT OOURT.
ST. LUC I E COV~y, p-I,O~A;
This is ~ declaration of Domiea~e and txtiseaship in the State d Fyori'da flat I am 8iiog this daT is aoooe+daaoe. lad is
oonfamitF wfth Section 222.17. T'7orida Statntes/~.~~ , /
I was t~ a legal resident of 4'u f ~ y~ ~~o ~ and I
. 1C~1 II?utel
reaided at o However. I lime ehaoged mJ? dome to
18trNt aed Plambsr)
and sm and Dave been a bona Sde resident d the State d Fbrida since D dad at .
-is-_.1~~ I reside at ~Ba /I ~u /~iG~. ~,.a~ oho ~
Iea..c..aNawbwl
L ~ ST. LUG i E Couag.>`7orda.
IG4l
and this staten~eat b to be tsken as mT declaration d c3tisenship. actual legal residence and domieDe iA the State d F9oeida.
IF FOR THE PURPOSE Oi ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMES:
f9cQ OCt _g i 1 ~ 32
_ FILED ABC GGi~i~f D
Si.LUCIE CCUY;Y.FLA.
ROGER POITRAS Q
CLERK CIF.CUII CCU Tom"
Rift°L' ~'F~~f'.1 - ~-J--~-- - :
- s
. ~ 5®2t1~'71
f
i
i
t
t
I F'iJRTAER CERTIFY that I w~ register at mT lonl addeess when the t
registration boolu reopen. asd oomph with all ~
other regmremeats d s legal resident d this State.
I FURTSER -CERTII~'Y that I have ao intention to return tom farmer domicile. and I intend to remain in
_ u C I E - Coontr.
- tC,u~1
i?lorida. permaneaci, .
. r
:•,;z
_ ~ ~ a~.t
- :
t1
i (AddtMrl
Sworn toabdau~a'~ed beice~e me this daT d
ROGER POI TRAS. CLERK OF G IRCUt T COtdRT
ST. LUG ! E COUNTY, FtOR 1 DA _ .
BY:
EPUTY LERK ~ ~ J
J
- Y
• X340 P~ ~ ~
a.c~ Foy n
-