HomeMy WebLinkAbout0393 Declaration of Domicile and Citiienship
su~;~8~
TO THE CI.ERR OF THE CIRCUIT COURT.
ST . L UC I E COUNTY. FLORIDA:
This is mT declaration of Domic~e and Citisenship in the State of Florida that I am 51ing this daT in aeoordanoe. and in
oonformit~ with Section 222.1?. Fbrida Statutes.- ! -
I was formrrl~ a kgal resident of ~ ~ ~riJ and I
Il~t~) Istas.)
resided at / Yy1 ~ P ~ k w` ~
~ ~ ~ l~2 - However. I have changed mT domiale to
1&rNt sad NssDsH
and am and have been a bona fide resident of the State of Fbrida ainoe 1 ~ U y daT oI
19 and I reside at ~L-D T /30 i~-%iw/~ ~ t
~I 199 e
IlitrMt asd N®br)
yC~-%S C~ ~F_ ~c_ a4 ST. LUC I E
- tat,l
and this statement is to be taken as m7 declaration of eitisenship. actual legal residence and domio'le is the State d Florida.
. IF fOR THE PURPOSE OF ENROLLING Ir FOR HOMESTEAD PURPOSES,
CHILDREN iN SCNOOL, PLEASE STATE PLEASE CHECK:
THEIR NANESL
190 P;~'t 14 P.. 2~ 25
`F F .
r_ _.iy~ "
- SU'7383
~ I FURTHER CERTII~'Y that I w~71 register at mT local address when the registration books reopen. and aomplT with all
other requirements a~f a legal resident of this State.
i
I FURT'SER CERTIFY that I have no intention to return to m~ former domic~7e. sad I intend to remain in
U C E Cou~j.
IQt~)
t Florida. permanenti; . ~
• i• " -
{ F
. ~ _ , 1
INams)
IAaa~...) 4
- Sworn to and snbsvibed before me this daT of
R A K OF IRCUI T COtd2T
ST. IE COUNTY, FLOR1 A
•
- BY:
_ EPUTY LERK '
. ~
1
5