HomeMy WebLinkAbout2544Declaration of Domicile and Citizenship ~ ~
5.43'78
TO THE Ci.ERR OF THE CIRCUIT COURT.
ST. LUG 1 E CpU~Y~ ~,O~A;
This is m7 declaration of DomieDe and Cftisenship is the State of Florida flat I am i3ling this dal in aooomdanoe, and io
oontormit7 whh Section 222.17. Florida Statutes.
I was i~ a legal resident of ,~b ~ ~' • ~ o D G- ~ --~ « ~ and I
lCte71 18gtel
resided at 1~ ~ g ~ N ~ 2 ~ 2 p c ~i ?" - However. I have changed ~ domicile to
l8tr~at and Nawb~
and am and have been a bona fide resident of the State oiFlorida aince __, ~ ~ l .~ ~ T~ dy at
/1~~v~~••c/~~~ . iS r ~' - and I r~eaide at ~.,~ ~.~ - /~~~r~ ~ s .~S~.y... ~ ~T. ~.
18t~wt and Nombrl
• ~G ~, .~ ~ ~,r ,t3 ~ o ~ ,rt- ~ ST. LUG I E Conat7. Fbrida.
lavl
and this stateme~ is to be taken u m7 declaration of eitisenship. actual legal residence and domia7e in the State of Florida.
' IF FOR THE PURPOSE OP ENROLLING If fOR HOMESTEAD PURPOSES,
CNILOREN IN SCHOOL, PLEASE STATE PLEASE CHECK2
THEIR NAMESt
190 oFC ~ 2 ~ 2 0 ~
FttEO t E ~E ~`p
S R06ER P~TR' iS A.
CLERK CIRCUIT CQUr~i
RECOPiI YI R'rY n _
51.43'78
I FIJRTIiEA CERTIFY that I wiU register at ml loaf address when the registration booiu reopen, and eompl7 with all
other r+egniremeats d a legal resident of this State.
I FURTHER CERTIF'lf that I have no intention to return tom former domie~7e. and I intend to amain is
_ UC1E _~t7.
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Fkriw, perma~nti,•.
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'tit w..'~~.1i
._4 ~ t ~,.~•:a"' ,flied before methis ~~
_ .n~ dal of _._.lC~a ~
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ROGER POITRAS, CLERK OF CIRCUIT ~O~tT
ST. LUGIE COUNTY, fLOR10A
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- BY:
EPUTY LERK
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