HomeMy WebLinkAbout1171Declaration of Domicile and Citizenship ~~
SU9512
TO THE CLERK OF THE CIItC[JIT OOURT.
ST. LUC 1 E OOU~y~ ~,p~pA;
Thb b mT dee4tation d Domicils and Citbenship is the State d Florida flat I am IDias fhb dp ie aooordana. and k
coniormiq with Section 222.17. >~7ocida Statutes.
Iwasformar alegalresidentd ~~~-lmot ~~isconsin ~I
IC~71 18t~ts1
~ 11807-318th Svenue Sowever. I baw ehaoged ~ domicDs to
18trNt gad I~tas~
and am and haw been a bons Sde resident d the State d Fbrida since the f i t t h ~ d
December ~iS_ 80 ~~I~~ 1681 rurgandy Lare
18w~t.sd Nob.rf
Pnrt ~ ~ i ~,~.; e ~ ST. LUG I E ~~~~
~~~
and fhb statement b to be taken as aqT declaration d dtiaenship. adnal kcal residence and domicDe is the State d 1:7orida.
' IF FOR THE PURPOSE Of ENROLLING
CHI~OREN IN SCHOOt.~ PLEASE STATE
THEIR NAMESS
r- ~sn Stewart ~ iob~oo
~..
IF fOR HOMESTEAD PURPO ~
PLEASE CHECKS
1980 DEC -8 AM 1~ 09
F 0 A!K pECOR0E0
S ROG~R PO TRASH
CLERK CtRCU1T COllRT~ -
RECOPQ \'EPiF1E!'-
509512
I FtJR1'HER CERTII:R that I will register at ~ heal addre~ when the registration booirs reopen. and ~! with all
other req~ements d a legal resident d fhb State.
I FUItT~R CERTg'Y that I have ao intention to return to ~
_ Fiaeida. permanents; .
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gad I b+tend to remain in
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p~Oi
Sworn to and snbseribed before me fhb ~ dq d ~~ ~
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sylues~~2
ROGER POI TRAS. CLERK OF C IRGUI T CO~tT
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