HomeMy WebLinkAbout0239 Declaration of Domicile and Citizenship "1
505585
TO THE CLERK OF THE CIItCl1IT COURT.
ST. LUC 1 E CpU~Y, ~,O~A;
This is m~ declaration of Domicile and Citizenship is the State opt Fbrida that I am Sling this dad in accordance. and in
ooaformit~ with Section 222.17. Florida Sta`tut~es.~ _
I was fob a legal resident of o ~ S l ~ R ~ (~t~ ~ and I
resided at ~ S ~ /"1 ~'N F 8o~wever. I ve changed m~ domic9e to
18teMt asd Nn~bR)
}
and am and have been a bona Sde resident of the State et Florida since ~ dq at
19~. and I reside at F
~ ~ lBerMt asd NseD~
o U C~ ~ ST. L I E
(C~41 Conat~.l•7oiida.
and this stateme~ is to be taken as nq? declaration at citizenship. actual legal rssidenos and domieRe is the State et 1.7aeida.
It' FOR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN iN SCHOOL, PLEASE STATE PLEASE CHECK:
THElR NAMES:
~o N ~
_
_ 505585 }
19x0 NO'! -3 PN 2.31
ST l CCtF CC.::. T F i A
ROSER F~: T TTAS
CLERK CII:CUa CG;:
I F[JRTHER CERTIFY that I w~ register at m~ ]oral address when the registration books reopen. and eomp~j with aD
other regniremems o[ a legal resident of this State.
I F'tJRTHER CEIiTIFR that I bavc no intsatio~ to return tom former domia7e. sad I intend to remain in
E
_ _ UCIE
- (Call ~ ~
z
Florida. permaaensi; . ~
_
F .
b is fir. ~e %-a
_ ~
. ' a. is 1~3~ .
4 ~ .
v I ~ .1 J' ~ ~1
.±~J i
H
tAddfwl
Swoea to sad sabs~'bed before me this ~ daY at ~I~ (r/~-l ~ i
`ART
.ROGER PO I TRAS. CLERK Of' C 1 RCU 1 T COt~RT _ ~`i /4- ~ 3 ~S
ST LUG 1 E COUNTY, FLOR 1 OA ~ t ~ la E 1 ~
t l~ J
BY• {
~ <
EPUT I
3 - ~
J
ec~~ e~ r ~
BOOKJ`f~ PAGE ~ .-T