HomeMy WebLinkAbout0322Declaration of Domicile and Citizenship ~1'
TO THE CLERK OF THE CIItCUIT OOURT.
ST. LUG 1 E ppU~y, glp~A;
509Q~.5
T'bis is nq declaration of DomicRe and Clti>osnsbip in tM 8tats o[ Florida that I am 5~ng this daT is aooordanos. and is
ooniormitT with Seetian 2ffi.17. Fbtida Statutes. J /
I was loaner a legal resident of ~/t. ~ ~1- ~ c~ F ~t`U i6r2 C.~1 !~ ~ ~~5, ~~ t c /~ and I
resided at / ~e ~ 7 T ~-O C ~ 6~tf 1 f /.~3/t2~, t~ 6M'A~t ~ ~ H 8oweer. I bays egad np d~in7e to
t8ti..t sad I~I~ba1
and~,am and have been a bona Ede resided of the State et I~7orida since ~ ] s?' daT a[
/v0 UE Ml3fifl .19~ andIresideat a ~ `~/ ~W ~ ~
(BtrMR ud Noob~r)
02T S-T-. Luc / _ ST. LUG I E ~.>:lorid~
(a4~ -
and this statement is to ba taken as m~ declaration d dtiseaship. actual legal residence and domia7e in the State oI Plaids. `~
" If FOR THE PURPOSE Of ENROLLING If fOR MOMESTEAO PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS.
THEIR NAMESS
r ~ ~y _ ~ ~ (.' ' 0
~. FIlEO ANC RECOR(lE0
SLLUC COUNTY.fIlA.
RCiG R POITRAS
CLERK CIRCUIT COUi~
REIGRO YfRIFtEl1,..~ /~ _
- sosQ1S
I FURTIiER CEATIE'Y that I wID register. at ~ local address when the registration booirs reopen. and eomplT with aU
other regninements ai a legal resided o[ this State.
I ~FtJRTI~R CERT)F'Y that I base no intention to return to lasmer domid7e, and I Intend to nmaia in
_ uG1E ~~T,
(~)
Floeida. permanemi; .
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ate.
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orn to and sobaaibed before me this dq of O ~~7 L V CI E L
. e.D. i~.~ (~ I .
_OCER POI TR S. CLERK OF G IRCUI T COtdFtT
ST UGIE COUNTY, FLORtOA
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BY: .. - .~
. EPU r' K .
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g~344 P~~E 322 -. , M_:-