HomeMy WebLinkAbout0087Declarafion ofi Qor~icit~ and Cifi~e~stii
~
' 5~ 24~'7
TO THE CI.~RK OF THE CIRCUIT COURT.
ST. L l1G I E ~~;pUNly~ FI,pRIDA; '
/ i
~
f
- This is my decluation oi Domic~e and Citizensbip in tbe State of Florida that I am Sling this dq in aeoordanee. and ia
contormit~ w~th Section 2?2.17. Florida Statutca. ~
. ~ ~ ~ ~
I a as formerl~ a legal resident oi 'zt-- ~~ ,_,~.~-..-e~- ~-~ and I
((~~ ISt+t~)
resided at ~~'~-~' ~ _ HoR ever. I 6ave ehanged my domiele to
(Strret aad Number) -
and am and have been a bona fide resident of tbe State of Florida since /'~ da~ of
_ ,19~~, and I res;de at .~~ ~ ~~ ~ ~~ ~
~- ~ ` (Street aad Numberl -
~t.l. ~~--v S T. L UG I E Count~. Florida,
' tc~b) '
and this statement is to be taken as my declaratioa of citiunship, actuallegal residence and domic7e in tbe State ot Florida.
" IF FOR THE PURPOSE OF ENROLLING
CHILDREN IN SCHOOL~ PLEASE STATE
THEIR NANES:
~
,_
~
i
i
-L ,i,
IF POR HONESTEAD PURPOSES~ -
PLEASE CHECK: , jl ,
!/ ~
1981 J~N -6 PK ~ I I
F~<<c a~c Frcp~t~~~~
SLIUCIE CQU;IIY.FLA.
ROGER POITRAS -
CLECcK CIRCUil CGU
P~'fR~t'rF'F':' -- ----~ .
512447
I FURTHER CERTIFY that I v~11 register at my local addres~ vvhen the registration books reopea, and eomply witD a11
other requiremeats of a lega) resident of this State.
- .
I Ft1RT~ CEBTII~'Y ~hat I have no intention to retnrn to m~ former domic~e. and I intend b remain in
?~a~'~..R_-+~-~ ' T* L U C 1 E , Cpunt~.
((5t~) .
F'lorida. permanenti~.
X
• . y. .. ' ` "I. . • "
.AA• ,~~! . a:r, ~ . ~• ~:: I . .
ls, •~ - ~= - '
. Ki' ~•r' - ` • . ~ f - ~ y- .-
.~. •
; ~ ~. ,~ ~ ; .. i ~
_ :- L~~.:, .
~P.,r :. ~ ~ ~ `r. '
~A~. .
:~+~~'~`,~`• ':: ~•
, ~.l~r . 4~~•: .
. _ ~ • .. ~
•i' '
Sworn Lo and subsen'bed before me tbis ~~ da ~
~
_ ~ _ ~.D.. / 98/
R ER~ .P01 TRAS", CLERK OF C IRCUt T COC~2T
ST. IE GOUNTY, fLOR10A •
,_.
• ,
- BY. ~ ~ 11.;~r~~
EPUTY RK
_ _- : {
_
~'
~~
r~,~
~ ~ ~' '
~ i
~,i j r
__ ~ . /' _ ~ f , t~ ' 7 ~'L"~ t,~-
;~ ~r ~ .
~J `~ ~ ,~, - ~/ .rt~%%~~ ,
r"(/. / /i-G ~C'-e ~_ '`7~~1`Z t~-~~~
(Addre~i) ~
.33~5 u
_.
. .~ ~
- - 601K J~V PAGE ' OL1
;
~
.~
~
~
~
~
f
i
_ ~
. .
, ,
• ; .--.
•
i •