HomeMy WebLinkAbout0532 -Declarafiion.of Domicile and Citizenship • .
SU4063
TO T1IE CI~.RK OF THE CIRCUIT COURT. - •
ST L UG t E CpU~y, ~,O~A; -
•
- Thi: ~ >tv dee]aratioa of Doamio7e and (ktissasbip in the State d Fbsida that I am filing this dq iti acooedanoe. sad in t
ooaformit~ with Section ?2.17. Florida-Statutes.
- _
I was i~ a i ~ - S s and I
. ~ , U I G f i 1 18tatN
resided u HawNar. I baee changed mT domoie~e to
l sad I~1~MN .
and am and have bean a bona fide resident d the State d ~9orida sins ~ ~ / U' - daT d
19~, and I reside at s~tr~¢s
~~~f S f- ~ u~ ,',o ST . L UG I E C~atJ, I~~orida.
tCt~l .
and this statement is to be taken as nq deeLratioo d dti:enship. actual legal residence and domieiM in the State d>:~orida.
" I~ FOR THE PURPOSE'Oi ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN tN SCHOOL, PLEASE STATE PLEASE CHECK: ~ ~
THEIR NAMESt
• - 1950 OCT 20 Pli 2~ 35
~ - ST
Ll CIF' CGIi.
i
Y ~F: A.
- ROGER PUITRAS
CLERK CtRCJ:T CG;:
f i CC~r gi~p'C'i n
,
• SU4063
I FIJRT~ CERTg'Y that I wiD register at mg local address when the r+egistratioa booirs scopes. and with aD
j other requirements d a legal reader d this State. - -
{ ,
11:'[TRZ'Hh'R CERZgY that I hs~e no intention to retain tom foemer domio'le. sad I intend to iemsia in
T ~ LUG 1 E _ Co®tJ. ,
Q t'rf f LIU L ICtt7I ~ -
Florida. ptrmanenii; .
i
f
,ij~liSii;ji - 1
l • ~ - 1~ .r
- S beboes sae thi: dq d _
I u , A.D.1~_
ROGER P01?RAS. CLERK OF CIRCUIT COtAZT ~ •
ST. UGIE COUNTY, FL !OA
,
BY: -
. ~
. EPUTY L.ERK
. 1~
~3~1. I'~ 532 .
~ ~n • - 1