HomeMy WebLinkAbout0107 Declaration of Domicile and ~itizenshi T
P
SU.55~.9
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG I E Cpj~•Y~ Fi.ORIDA;
This ist m~ declaration of Domic7e cad Citi:etahip in the state of Fbrida that I am 51iaa this dad in acoordanes. cad in
eonformlcT .ritb section 222.17. F1oca. Stawtes.
I was fob a kgal resident of C~ C e e C~ A 6 e, e. f ~ O R 1 ~0., ~ I
1 IptT) (tleala) '
resided at ~ . S . ~ ~ ~ " 1 . gowever. I have clanged mT domie~e to
1 ~e ~d IiraDK)
and am cad lave been a bona fide resident os the State of Florida since ~ y - \ h ~ ~ da,~ of
~ ~ .19 8n - and I reside at ~ n b 1 ~ ~e
= ~ i t' 2 ~ L ST. LUG 1 Eea..t..art~r?
1~1 Connti. A9oeida.
cad this statement is to bs taken as m, declaration ai eitiseaship. actual legal Yesidenoe cad domicile is the Seats of ~7aeida.
" If FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE. PLEASE CNtCK:
THEIR NAMES:
~ol~.r, ~ ~~~L 5ie.
1980 NOV -3 AN i~ 21
FT lt1CIF C ~ECfiN9E0
S ~tOGER f
Ot
iRAS~
CIEttK CMCUIT COtiRt
• p.Ottlrn rrTRtF~~ a_.
I FURTHER CERTIFY that I ~ register at mT loch add.-esa when the registration boo~ics reopen. and e~ with aD
'i other requirements at a legal resident of this State.
j
I I F'IJRTHER C?';Ii1'T1''Y that I Gave no intention to re:m~n to m7 former domie~7e. cad I intend to remain in
U C 1 E ~ Connt~.
_ IGtitrl
~ F"lorida. permanenu; .
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s - Sworn to cad sabeer~ed before me t>sis ~ daj ai
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ROGER PO! TRAS. Cl. K OF G iRGUI T COt~tT
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ST. LUG 1 E COUNTY, f 1.OR 1 DA ~ .
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EPUTY LERK a00K~~~ PAGE
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