HomeMy WebLinkAbout1006 Declaration of Domicile and Citizenship
5U2482
TO TSE CLERK OF TIIE CIIt(,'[lIT COURT.
ST. LUC i E COUp'py, ~,p~A;
T6b is ap declaration d Domkile sad (~itisesship io the States d Florida that I am lltins this dy io acoordaaee, sad is
eontarmitT with Section 228.17. Floeida Statntea.
I was i~rme a legal resident d ~a`~~~ and I
ICIt71 t8u~e1
resided at 76Sy - However. I have changed up do®id{e to
IIIeeMt as0 NoeAatl
sad am and have been a bona fide resident d tbs State d Florida sincx 8 ~9 8~ da,~ d
19_..._. and I reside at ~ 1 1
~~-i.~ ~~,ca..ic~c. ~ ST. LUG I E~~~1
counts. Floelda,
tabs
and this statement is to be taken as my deeLration d citizenship, actual legal reaidenee and domidle io the State d Florida.
IF FOR THE PURPOSE OP ENROLLING IF fOR HOMESTEAD PURPOSES,
CHILDREN tN SCHOOL, PLEASE STATE PLEASE CHECKS
THEfR NAMESS
- G2~ t!~~acE~e.
1930 OAT -8 Jai ~ 58
- f ICED atr[ ~f CQhUt t!
51:LIlCIE COL';tTY.ft A.
ROGER AOITRAS
CLERK CIRCUIT C~--
~YVrfr
I FIJR1'lffR CEBTI>''Y that I w~ register at my local address when the registration books reoQen. sad eompiT with aD
other req~emeaRS d a iegsl resident d this State.
I FtJRTI~ -G'HRIZFY thst I have ao intention to retarn tom former damie~e. sad I intend to r+emaia in
U C 1 E _ Conat~,
- «sss~
Florida. permaaeaci; .
Lj? ;~y
- Swoon to sad sobeeribe'd bstae me this dsT d ~~/t2.[, ~
-
A.D.1~ V~~ i
s
ROGER POITRAS. CLERK OF CIRCUIT CO>~tT~
4
ST. LUG i E COUNTY, FLOR 1DA
~
BY: ~
EPUTY LERK ~ '
• 80~~ P1GE~~ •
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