HomeMy WebLinkAbout1591Declaration of Domicile and Citizenship N~
suss
TO THE CLERK OF TAE CTItCUIT COURT.
ST. LUG i E aptly. ~,pg~A;
This is mT declaration of Domidle and Citissnship in the. State of )F7orida that I am imag thi. dq ie aooordanos. and is
coaformitT whh Section 2?2.17. Floridga~ Statutesc r,,,, n n A, ~^
I was i~ a bgal resident of _ L ~ ~l ' ;) ~ ~1' y~W - A (ILL ~J Ti4 ~l~'= - 15L~ h~1~ . . 1 "~ • ~md I
- ICit~l 18tste)
resided at However. I bare changed mY domidis to
leeeNt sad 2iee~r) I
sad am and bare been a bona 5de resident oI the State of Florida since '~ 1d~-[+/{C ~ ~ ~ ' dq o[
19~.sadlresideu I~~~ s'--cr~sF~gUL~N,c 12 . ~s~- ~Go R1
5~.. ~ ST. LUG 1 E~`'~~`~
Count7. Fbrida.
ICib1
and this statement is to bs taken as m7 declaration of titizenahip. actual kgv residence sad domia7e is the State e[ 1<7ocida.
" IF FOR THE PURPOSE Oi ENROLLING IF FOR NONESTEAD PURPOSES,
CNILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMES:
.~
1980 OEC -9 PN 2 06
Fu.EO ANC FfcowoEo
S ROG~RE PaTRAS~-
CLEl01 CIRCtMT CO 1
5U9'765
I FURTHER CERTTIIF`Y that I w~ register at mT local address when the registration books reopen. and compb with aU
other regniremeats apt a legal resident d this State.
I FIJR1'SEB CERTIFY that Iy have no intention to return to mT former
Florida. permanenti; .
sad I intend to remain in
Cou~J.
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dece me this _~. aaT e[
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C~"OUNTY, FLOR 1
PUTY I.LERK
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