HomeMy WebLinkAbout0849Declaration of Domicile and Citizenship ~i
509325
TO THE CLERK OF THE CIItCUIT OOURT.
ST. LUC 1 E CovrrrY, I~-I,pRID~;
This b cnT declaration of DomieSe and Citisenship is the Slats of Florida that I am SIinE this dq is sooordanos. and b
coatormit~ witb Section 222.17. IE7orida Statnles.
Iwasformer alegalresidento~t T~fu~yD,FR _(3 A Y - oyr,4R /a, GA~y/9A/9 andI
ICIUf l8t~td
resided at ,~~~''~-~~=~%~ ~- '~'~ - Hewever. I have changed nq domie~9le to
lBt:Nt asa I~t~eK)
and am and have been a bona bde resident of the State of Florida ainoe Tc/~,t~ T i E T /,! dq a(
~C7~0 ~ ~ R ,19 ` and I reside at 8/D / GO O r~ ivA i4yE.
(BtrMt aed Naobw)
F r. Pry R c~ _ ST. LUG I E ~. Fes,,
tCri~l
and this stateme~ is to be taken as tqT declaration of eitir~enahip. actual legal residence and domia'Ie In the State of Florida.
IF FOR THE PURPOSE OF ENROLLING
CNILOREN IN SCNOOI, PLEASE STATE
TNEIR NAMES:
...
SU9325
I FtJRT~R CERTIFY that I wiU register at mT local address when the registration books reopen. and eomp~ with all
other requirements d a legal resident of this State.
I FURTHER CERTII~'Y that I have no intention to return to former domia'k. and I intend to remain io
_ ~ _ ~ U C f E , Couat~,
t~j)
Florida. permanenci; .
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Sworn to and snbsQibed befoe+e me this ~ dq d
ROGER P01 TRAS. CLERK OF L IRCUI T COtdF2T
ST. LUGIE COUNTY, fLOR10A
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- - BY: ~ /z.~~ -~.n
• EPUTY JERK
~4~ ~ 849
IF FOR NOMESTEAO PURPOSES,
PLEASE CHECKL
X80 OEC -4 PM !2 i l
FaEC tit: FfcoROt``•o
5 RR POITRASA~
CLERK CIRCUIT COURT
RECORD V[R1FIE(I_ __~
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