HomeMy WebLinkAbout1577Declaration of Domicile and Citizenship ~'
• 509'759
TO THE CLERK OF TAE CIItCUIT COURT.
ST. LUG 1 E CpU~y, ~,O~A;
This is a~ declaratioa a[ Do~midle and Cltisenship in tM Stab d Florida that I am ®tna this dq in aoooe+dana. and is
ooniormit~ with Section 222.17. Florida Statutes. //~~
I was t~ a legal resident d LIN/ o N ,(3~q G L1 /U•v • and I
1(SVI 18taW
resided at ~~SF c~'Y1~ itJ Cr ~p ~yEh.~ll Cj _ However. I have changed ~ do®icDe b
18trMt.aaN..e.~
and am and have been a bona iide resided dthe State dFlorida since ~4 C . (•~ ~ dq d
1>i-a c' . and I reside at ~ 73 ..5.4J. 6EGmcv,/ T ~/ ~
lBteNt ~sA Noa~beN
PS' ~ ST. LUG I E ~~, F7ard~
ICtb)
and this stateme~ is b be taken as mT declaration d eitiunship. actual legal residence and domicile is the Btab d Florida.
i!< FOR THE PURPOSE OF ENROLLING
CHILDREN IN SCHOOL, PLEASE STATE
THEIR NANESS
If FOR HOMESTEAD PURPOSES,
PLEASE CHECKS
1980 DEC -9 IIM il~ 09
FIlEO ANf FECOROCO
StLUC1E COt!lrTY.FtA.
R06ER POITRAS
CLERK CIRCUIT COURT
509'759
I FtJRTHF.R CERTIT'Y that I will register at mT kxal address when the registration boob reopen. and ~4 ..kh aD
other regmremeMs d a legal resided d this Stab.
I FURTHER CER1'gR that I have no isteatioo b remmn to farmer domicile. and I intend b remain in
_ U C I E ~ Conj.
ICIt7)
Florida. permaneati,-.
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Sworn to and snbeeribed befoee me this ~ daj d ~l _ tff ~C~ / C- -~3 4~S•
ROGER Po17RAS. CLERK OF CIRCUIT CO~dRT -5 ~-V 1 Q- ^• V S 1 ~ ~ n i v
~-
ST LUGIE COUNTY, FLORIDA
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