HomeMy WebLinkAbout0633BUOK ~ 2~ Enoch Clsrietenaen
_ _ • ~,.
Declaration o~~omici~e~ and Citizenship -
TO THE STATE AND COUNTY TAB ASSE880R.
St . Lucie COUNTY FLpR~A:
This is my declaration of Domicile and ~'iti>IeashiP In the State of Florida that I am !!ling this day in
accordance, and in conformity with Chapter 222, Section 222.17. Florida Statutes. New 7ork
DeBu~yter _
I was formerly a legal resident of_`______T _ tp4)
~;;~ : ~33~ed at- G2~.~' 3'='4-_ 3t~r~eL- - ----------------------- ------• However, I have Ghan6~ ~ domicile
----,
(sae.t atia Numwr) - 87th
-- - - - -------- d+-Y of
Lo and am and gave i~u a iwna .°,de .mid-~±; of t?:° ct,{tA ni Florida since------- - ~ -
September __ _ 19_-~ ,and I reside at__~__gdil ulennde;r~se, ___________________-_-_----
-- ----_---- ~ ~ ___ rn~.:.nd Nnmber)
----
St . Luc le u- County. Florida,
Fort Piaae -.-r --------- ---____-------------
_____-- '-- (cats) -
and this statement is to be taken as my. declaration of dtizenship, actual legal residence and domicile in
the State of Florida. '-
(Insert Lore aWr pertinent Teets, suck as sab o[ ~ at ~o~r;li{~nieLment at employment at
osmer domkAe. removal of iamib to new domicile. p
l[osin8 into a net hole
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F1LEC AND RCCDP~DED
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~~: } ~ ~E CDUNRy FLOKiuA
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I FURTHER CERTIFY that I will register at my Iocal address when the registration books reopen,
...w .......nio wiTi. wii acne? <euuu~uaaaaaa i a w~s~ ~w:.a...~"'..: ^r` +1~"t. QF~t~
I FURTSEB C'ERTIF'Y that I have ao iateatiaa to rsturn to a41- former domicile sad I intend to remain
i„ 'Rnr t P; era a ~~ 8t . Lwa 1 s Coant7. Fiarida.
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Sworn to sad subacsibed bodf~ ms this... 16 ~j ct
3Q. D. 1s 61-
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KOd~! A~MM eta d >rlo~Na at Issp . ___
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ah -Christ ~Iila~i
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(71s M ~neeiai fa da~iiats sal sefgilsl ~ will! QsAc tFe~it
ssew• essMs Cw. 1!lsat db. ItM.
with {ht ~!)