HomeMy WebLinkAbout2883Declaration of Domicile and Citizenshi ~"
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510543
TO THE CLERK OF THE CIItCUIT COURT.
ST. LUC 1 E . Cpt~y, Fi.ORm~;
This is my declaration as Domicils and Citisenabip in the State of Florida that I am filing this day in aooordaaoe. and is
conformity with Section 222.17. Florida Statutes.
I was fob a legal resident of BALDWIN NEW YORK sad I
IQt7l 1lltatsl
974 STAN410N AVE
resided at Aowever. I have changed my damide to
lBLrNt sad N~Der1 '
and am and have been a bonrfide resident of tba State o1 Fbrida ainee 1st ~ ~
19__~ sad I reside at
PORT ST. LUCIE (8t~+sta~dlVsmb~rl
ST . L UG I E County. l:'lorida.
Icxtyl
and this statement is to be taken au my decoration of eitiuasbip. actual legal residence and domia'b in the State o[ Florida.
AUGUST 80 19 ORINCO GOLF VILLAGE
" IF FOR THE PURPOSE OF ENROLLING
CHILDREN IN SCHOOL, PLEASE STATE
THEIR NANESi
~r
IF FOR HOMESTEAD PURPOSES,
PLEASE CHECK: XX
1980 DEC ~ 5 ~ t~ ~$
FI[fC eHC FECUR.aCp
S 06ERp~j1:FtA
Rr ,. ~E11K CtaCUi1T OURI
rur~.n 1'F~f:
. - ~- - .
510543
I FURTHER CERTIFY that I w~71 register at my local address when the registration books reopen. sad comply with all
other requirements of a legal resident of this State.
I FURTHER CER1'IF'Y flat I have no intention to return to my former domicile. and I intend to remain in
- - T ST. LAGS UC 1 E - County.
1(~ty1
Florida. permaneaci; .
V
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J~ ~' ~~ : o
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..,
c~E BOUNTY . F~~
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Sworn to and snbse:lbed before me this ~ r dad of
A.D.1~g o ..
CHARLES C. NEWFIELD JR.
19 ORINCO GOL~P~VIILLAGE
1~
PORT ST. LUCIE, FLA. 33452
ROGER P01 TRAS. CLERK OF CIRCUIT COiidltT
ST. LUGIE COUNTY, FtOR10A