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HomeMy WebLinkAbout0083 1__....~"'~."\ .......:.;1~,...,:.J... '~\~"'~"'~'~~"'~"'''':-.",,'-' ,..,~.,~ L"'~~"""'. ~. .....q..~ o;.~.. -i.'~ .~.. ..,1:~:'""" ~1-;.~"'r...:.. '~~~'~:,'.~";."~~'~..,,:....t'.."'l'...,~ ~.............. Declcration of Domicile and Citi;lenship TO T~~E STATE AND COUNTY TAX A5SESSQR, ~. R. ~;U 1:3 S3 ~t. Lucie COU"lTY, HORiDA 17 I '~'f C-j ~'7'y- rl A lhi~ i~ my dec!arc!lllon of Domlci\.e c!lnd Ci:'zeruh,p in the Sla:e uf Florida thaI I am filing thi1 Jay in accorclam,e, c!lnd in conformity ....ilh Chapler '222, Seclion 222,17, florid 3 SIc!l1 )H~s I wa~ formerly a legai .esidenl of .-.kron C~io , ,-) J_ '..,. , (City) (S,,,.) lIn::! I re1ided 051 . . "_'1 :J~-d::~:\:~'.j~ J :-Jrr;ct (S'r~' .r.d NvtT'ber. However, I have (,hc!l'1ged my domicile to and lIm and have beer) a b0na fide residtnl of the Slale of Florida 1ince j:.:tk -: )U~ dc!lY of LT url c. , 19 ;,1 c!lno I re~ide at ::11 o'.:ic _':::::r:,~t: (Str..' .C>d t/vmb.r) :'-";ll""i ,-"t~. !,ucic County,Florida, i '_rr ( (Ci'y) . . c!lnd Ihi~ slatemenl i~ 10 be laken a~ my declara:ion of citizenship, aClual legal r..;s:'Jence and domic,le in the Slate of Flcridc!l, (I:'\len ~.r. I,.y perfi~nt f~ch, lv<.h .. ..Ic o~ proptrty or bv1in-.,., 01 ,.!inquithl'"f'"l.9r'\t of .mploy~nf ., fonne' domicile, rtmo.....: of family to Nt,.. domicil., purrh.... of ~, .te.) l. ~ i~' r 1 r~ ~ : ~:hcri::i? .~ 1 r: t.:-. (. ., '. + .J....) '..J '1" ..::Cf':' ~r1 ... u. ~h' rl'.':: I .; ..... 'J._ II !i ,:'J:" rt F,ran;":lin I' Sth 1I "..~ lbc-rt L[~rry '1 (,+-;, j '..,J. l II \'.~,I.' " ,. . .. ~ -,' J. .. ,') :..... ;:J . ') ~ :'.~)' ......:. \' , U; .J '. , . '. .!', , ')('/"), . ,)\/~U F!! Fn H1Q PECOR,OEO Ir" ;:j/' -;V ~n!K , '~/j~~'-' I~~ JUN ~ ~ Pi! !: 17 'J ~ . ~ A -' l.I. ; c:, ~ , ' '""'y... \ ~i. LUCIE COUNTY. fllJi\luA 7)7$' .....".... -- ..... ".." -"'\' I ........ I I" \~', . ,--~ I FURTHER CtRTlFY thet ! ~r:::Sler al my local aOdre5~ wr.er. the regi5lrallor: t.-ook5 reope;j, ane corr,p!y with ail v:,ler requirements of ~-rr~5idenl of Ihi5 St~le, I HJRTHER CERTiFY Ihllt I have no inlention to return to my former domicile, ond in'end io remain In r:' ,.. ~.,... .. ..1... ". icrcL. ~.~C i (. County, FI(Jrid~, .,..~~;~~I/y., . " . ( ~,~ ' '.' " {City' .1 /~!Ji-4'l-Y (i ;,~~t.,>;,) ~:u: >'7:, ,/'} / // (' / .J A./t.- <:. , .' l.I: '"1l - ' . ", , ~ ,. , ',. " ' . I ,,0',,: < ..., <.z. (A.ddr~u) , , O";>IQ..:l,.ri'd,~~~CI'bed b~~ R~R ~, r:LERK ,:!RCUIT f1 tf/J!./... {. 4~~ l~ I_ln C .>~1~r. 19 Coy of (OUR; Natar', Public DC '/1'1 CcrT'~--.);ssion expp"es (fo b. ......<vr.n .__ cS;,;?II(II. .no (lrlgl!,\",1 ,,:..(1 wi-Th ct.,.1r. (irey;' c~,..rt. :nd dvp!~clt. wit-h TiJo: "'"Ii.,}r) p rqcr