HomeMy WebLinkAbout2863D~cla~~aiior~ o~ Do~~icil~ and Cifi~~nsi~ip
' ~ S~ 2.29U
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG 1 E Cp~y, ~-I,pRIDA; '
Thi~ is m~ declaration oi Domic~e and Citizeas6ip in tbe State oi Florida thst I am filing this da~ in aaordance. and in
~oaformit~ a~th ~ctioa 222.17. Florida Statutes.
I v-•as fonneris a legal resident of 4SE -~- ~.S ~j t.t rA ,^ and I
lC~l{ IStaW
resided at ~.Q~ ~ ~C~ Q-~ HoAever. I have changed uq domit~e to
(Strset and Nambe~
and am and have been a bona fide resident of the SLate of Florida since ~P- fi~`~~T dq d
~ _ 19~~ and I reside at ~..1~ ~ ~ QJd.lC~
(Street aad Numba)
~ ~e ~' ~- _ ST . L UG 1 E Count~. FJorida,
lCic7)
and this statemeat is to be taken as my deelaradon of citizenship. actual legal residence and domic7e in the State of Florida.
" IF F'OR THE PURPOSE OF ENROLIiNG
CHiLDREN iN SCHOOL~ PIEASE STATE
THE IR NAMES:
~ tt~ufrnr~` S'~' ~n~~ic~~~
r-
S~vi-,~, A ) dl ~1` OW1L. .4 `~
~_ - -
~ / ~/ ~~IGr~~'~/ v(/~J fT/~
. i `
0 ~
(I~am~~
t_.1_.~ ~ ~....G.ts1C~
S3 229p
I FURTHER CERTII~'Y that I w~71 regicter at my local address vvhea the registntion books reopen. and eompl~ w-ith aD
other requirements of a legal resident of this S!ate.
I FURTHER CERTIFY that I have no intention to return to m~ former domie7e. snd I intend to remain in ,
~ t~i~ r~c ~_ - 5 T* L u G 1 E ,~~t~.
fcs~~) _ .
F'lorids. permanenti;.
.,~
~~' GO U~~ j~V
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tJ.,r~ ~ -.4Gi
o~[ o ~1 Z ~'c"'~ : -~-~
J '. ~t.~~lj~~ ~ . ?
!y'~ ol.Jtl~V•' ~~
Sa oro to and sabsrn'bed betore me this ~ da~ ot
~ .~._ / y8/
ROGER P01 TRAS* GLERK OF' C IRGUI T COCfi2T
ST. L l1G 1 E COUNTY, f LOR 1 DA •
BY: ~ 1~~
. bEPUTY 1.LERK
~
IF FOR HOMESTEAD PURPOSES~ ~
PLEASE CHECKS ~
~981 JAN -S ~.l, ~I: 27
fItEF en[ FrCG~ui D
S t. «~ tf COUN i Y, F 1 A,
C ER!4 CIE;~UiT G~itT .
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