HomeMy WebLinkAbout0295f~~claraiion ofi Dar~~icile and Ci~iz~ns~~ip
TO THE CLERK OF THE CIRCUIT COURT.
ST. LUG I E ~p~Ty, ~,p~A;
512581
y-
This is my declsration of Domic~e and Citizenship ia the State oi F7orida that I am Sling this da~ in sccordmce. and in
coniormit~ with Section 222.17. Florida Statules.
I R as formerl~ a legal resident oi c~~ /C.O U I~ _ /' snd I
, _ ICit7) ~ ~/ /~~ IStas~`
resided at __~ 0~" ~-Z ~~ r 9f ~•~~ . How ever. I have cbangetl m~ domici7e b
~s~e.~a N~~~
and am and have beeo a bona fide resident oi the State oi Florida since ~~~ ~~~ day ot
t
v v` 19...~ and I reside at ~ d~~ /~ ~'~ ~-`~
~ ~ (S and Numberl
~-~ ~~~ ST. ~UG I E ~3~`r
, Count~, Florida, L
~ (Cit7)
and this statement is to be taken as my declaratioa of cit'uxnship. actual legal residence and dbmic~7e in tbe SLate of Florida.
" ~F FOR THE PURPOSE OF ENROLLING IF FOR HONESTEAD~PURPOSES1~ /-
CH i LOF~EN 1 N SCHOOL~ PIEASE STATE PLEASE CHECK: ,/~"
7HEIR NAMES: _ ~
~
- ,..
1981. JAN -T P~: 2~ I 3
Fi~ce ekr F!'caR~~.~
ST. LUC~E COUN T Y. Ft ~.
oGER POtTRAS
G~EEii: C~~~ut' c[u~~
~it Ci.~~ ~i'. J.Ii ~{ `; O _
512581
I FiJRTHER CEftZ'IFY that I w~l register at my local address when the registration books reopen. and eomply wit6 aD
other requirements oi a legal resident of this State. ~
I FURTHER CERTTF'Y that I have no 2~Le~tiOA to return to my former domiu7e. and I intend b remain ia
-,-- 5 T. L U C 1 E - CountJ.
1(:R~) .
Florida. permanenci~.
,,z~. . ~
, ~ .~f ~ • •
~, ~.
l, j~ • ,
-, ` .
. f • , ~
r: • ~ w'. -
_ ~ !•
. '-. ~: :. ~~ .
~~
S .
. I
/ . - ~o •~ `~'Ir~/~/~-~
- ^ [i.6a~'
~-ow~-- ~ - ~ ~~%~ --
~ o ~ ~ '' ~_ ~-°-~..
~~ ~~ ~ ~ ~ 3 ~_1-
Sworn to and subsc~~'bed befon me tbis da~ a~
_ ,~.D._ / 98/
ROG R POITRASt CLERK OF CIRCUIT COC~r2T
ST. LUGIE ~OUNTY, FLORIOA •
• ti-
BY: `
~PUTY IERK
f •
4
_ _' '_ ~i.~.'w~.c~, ~,:r ::
~i ~sv~~n~~+~~ -. -
~ Z~ /
~~~~-~ ~~~~np~i~;a.
`C-~no C . ~~I~a~,1 .
- s~ 34s P~~E
. ,~~
. .~
. .
~ .
~~ ~ ~ M .
. j
cl ~~...-:~.~
-..,.._~;P ~d,. ._