HomeMy WebLinkAbout0341 Declaration of Domicile red i i n h' ~ ~
a Ctze s ip
SU'7345
TO THE CLERK OF THE CIRCUIT COURT. .
ST. LUG 1 E COU~y, ~,Og~A:
This is mT declaration of Domicile and Citiunalup in the Slate of Florida that I am filing this daT in aooordanoa. and in
caatormltT with Section 2.17. Florida Statutes.
I was ion a legal resident of ~ • ~ ~ ~'sc~ + ~ ` c~~ : f ~ and I
1(St~1 IStata?
resided at ~ O / ~ ° + c` ` ~ . -However. I have changed mT domicile to
18uMt and Namtwir?
and am and have been a bona fide resident of the State of Florida ainee ~ ~ ~ daT o!
~C'rP.-~.~~r r 19 ~Y-aadlreaideat .J~`t ~`.c',._t ~.:c1~ T'~~L
18trwt and Homb~r?
l
g ~ ~ L- ~
~ < < _ ST . L UG I E Couat~. Tt7aeida.
lave
and this statement k to be taken as mT declaration at eitiunship. adual legal reaidenee and domia'k in the State of I:7oeida.
" IF FOR THE PURPOSE Oi ENROLLING Ii FOR HOMESTEAD PURPOSES,
CHILDREN fN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
i ~
-
( ~ h
J'
SU'~345
I FURTHER CEAT'IFY that I will register at mT loin address when tae registcatioa boob reopen. and eomplT with all
f other requirements of a legal resident of this State.
I FURTHER CERTI>`'Y that I have no intention to return to m- former dotaic~7e. and I intend to remain in
UCIE
i b' ~7.
_ ICit~l _
Florida. permanents, .
- ~~a~~
~Q Ul1T
:G
.
_ , .
Lam'',? ~k/, _`'iL~. _ '~~q ~ E~l~._. ~~1+~~~.~ 4'
-
'`y~..:.a~`.s~~~ INam~l
.
ua~..~ ,
sworn to and subscribed before me this --f- dad of ,J / `
' ; ~ << S ~ r ; ~
1
ROGER FOITRAS. CLERK OF CIRCUIT COt~2T
ST. LUG 1 E COUNTY, f LOR 1 OA .
_ EPUTY LERK
i
60`JK ~ i