HomeMy WebLinkAbout1959.
t
Declarafiion of Daniicile and Citizenshi -
p ~
.
Si~'769
- .~
_
Thls It m~ deelaration oi Domfclle and CitiunsDip io the State oi Florida that I am AIng tWs da~ in saordanoe. u~d is
eoaformit~ w~it6 SectioA 222.17. Florida Statut~. '
I was iormerl~ a legal residen! d~1~~.G0 ~ j
~ '~ Iait~1 t~
resided at ~l.s ~oRTH ~u !l!~ t/F ~~' However. I bave ebanged r~ domir7e to
(8t+eet aed N~b~ ~
and am and have been a bona fide resident oi the Stite oi Florida aina _~~~t ~r' ~' ~ 3 dp ol
~
19~ and I raide at ~1 ~ t~li /f'~- ~~ e's~v_ ~!~• v~~s^
~ n iBtre~t +sd NnmD~r)
~'~ -/" j t~~~ e ST. LUC 1 E Co„nt~~ Flo,r;da.
«xy)
and this s4temeat ia to be taken as m~ decluatioa ~ ritiunship. aetual kgal resideace and domieile in tbe State oi Florida.
, ,
' Ii FOR THE PURPOSE OP ENROLLING Ii iOR HOMESTEAO PURPOSES~
CNIIOREN IN SCHOOt~ PLEASE STATE PLEASE CHECK: ~
THEIR NAMES:
~-
1980 DEC 29 PN 12 39
FILEO ~tiC FfCOfc~EO
ST.IUCIE COUN t Y. Fl A.
RoceR roi ~ Rns
CIERK CIP.~llt7 CCi1R10
RFC.^.p'1~~ra~r~:~ _ ~~_----
511'769
i:
.,
,
i
F
. t
' i'
I FIJRTHER CER1'IFY tbat I.v~l register at m~ loeal address ~vhen tbe registntion boolu reopen. and eompl,~ witb a1t
other reqnirements oi a kgal resident of t6is S4te.
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUC i E ppU~y. ~,p~~;
I F[JRTNER CERTff'Y tbat I luve no intration to retnrn to m~ lormer domidle. and I intead to remain ia
`. . ST . L U G 1 E ~~~.
IQk~) .
Florida. permanenii;.
,~
~
~`~~ounrryco
~- :; ` ~4 G
J. S~
~rl~~;'~ °j ~t~~~<
~._~` COIq~ •~
~
~ -2-~L ( l - ~~~
E ~~ ~ ~
t
spo~ ~.na ~a ~ion ~ t~ a 9 a,, ~t _ _
.
A.D.1$~ ~ %
ROGER Pp~TRaS~ CLERK OF GIRCUlT COrd2T
ST. LUG i E GOUNTY, f LOR 1 OA •
• ~-
BY: ~'~~
. bEPUTY I.LERK
Q~1am~)
(Addr.w)
~3~5 P,~1968
CROC~
..
. ,~~
~
,
~ .
.
J
i ..,
+
. ,
~
~~