HomeMy WebLinkAbout1520 Declaration of Domicile and Citizenship ~ .
SU'~894
TO THE CLERK OF THE CIRCUIT COURT. .
ST. LUG 1 E COUNTY. FLORIDA:
This is mj deciuation of Domic~e and Citizenship is the State of Florida that I am 51ing this daj in acoordaaoe. sad in
coniormitj with Sedioa 222.17. Florida fS~tatutes.
I wan fob a legal resident of ~ ~ C _ ~ l ~ r4 ~ and I
ntChj) (&aia)
resided at ~ /q'~ if L11C~ ~ ~C -However. I love changed mj domiet7e to
ISeaMt and Nombar)
and sm and have been a bona fide resident of the State d Florida ainoe o U T daj od
~FR~U~/' .19~~... and I reside at ~ ~~r~ ~ `4 S G F v/c L~.r
lSnaR aed rlomltaH
~o lP T S %
. G v _ ~ _ _ ST. LUG 1 E Countj~
ccwl
and this statement is to be taken s. mj dseLration of dtisenship, actual legal residence and domia7e in the State et Florida.
_ IF FOR THE PURPOSE OF ENRO~t.iNG IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK:
THEIR NAMES:
1a~0 i;~`I i 9 AM ii= 1 S
_
SO'7894
I F'(JR'r'T;Fdt CERTYF'Y that I wdl register at mj local address when the registration boob reopen. and eo®plj with all
other regninments of a legal resident at this State.
I FIJRTI~t CEBTff`Y that I have ao intention to retm~n to mj former domicOe. and I intend to remain in
_ JT . L U G I E ~ Coantj.
~ -1(ak,1
~ Florida. permanenci; . ~
E ~
G
~
~ i:~~liiJl/!!!!
- 'mss ~ ~ -
- ~
, j''- Wawa) ~j,E~ 1) ,rfl~
- Sworn to sad subearibed before me this daT of
I . A.D. il~
- ROGER P01 TRAS. CLERK OF C 1 RGU 1 T COt~t T .
ST. LUGIE COUNTY, FtOR10A
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