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Home My WebLink About0307 D~c~aration of D~micile and Citi~e~ship ~4'79~4 ~I~U ~IFIt: STAT~~ ~~nuc•~un~r~r TAX ASSI.SSOR, / f ' .-~-~-u.~.._ coun•rY. r~LORIUA: v ~~!ii, is my ~ir~'laratic~n ol~ Doniirile :lll(I l Ill"!.l'i1SI11~) in th~ Statc ot~ Floricl~ that 1 am ti{ing thi, day in a~runi:~nc~•. and in ronlortnity ~~ith S~ction ,,,.17, Fiorida St:~tutrs. I ~vas lornirrly a I«c~l rrsi ent ot~ - . - _~l-iy=l.~'~ft~- a-e'4i~:.' 1 . ~c~i~~ (s~~~z~ i/ . 2 / ~ ~-~-v~~,c~'.t.L~G J . . , r~si~i~~ at ~ _ f - - - - . Howc.~cr, t have changcd my dom~ril~ to (Sircrt anJ Piumbrr) ~ .~nJ am and h~~~~ lx~ n a bon~ tide rrsi:lent of the Staie of Florida sin~e day of _ / ~ , ~.~-d~.~c-t~ " I 9 f -3 _ and 1 rrsidr at _ y ~c/ ~'L~~ _ _ - - - - . j ' , (s~rrrc ~n~ kome~r) . ~f' - ~ .,'~~f'~ ~ - • .tic-~.c~C'- - County. Florida, - jcit>' ? _ :~nd ihis statem~nt is to be tak~n as n~y declaration ot' citi-r.enship, actual legal residence anc~ domicile in the State ut~ (=1o~ida. (Insrn hrre am prrtinaM facts, such as s-rlr ut pruprrty or business, ot rr6nyuishmrnt of rmployment at formrr domicilr, remocal u! Samily to nr~~• do~nicJr, purcAasr ut homt, rtc.l ~j~~~ ~ jft.f.~~~i~~/ ' ~ ~ C / _ 24~'9~4 fILED AMD HECORDEO ST. LUC~E COUMTY FLA. ROC~F. ?"u1TRAS , CIERK C:rCUIT COURT RECOR:~ +f?;Ft~p"~ ! ~ _ Fee 16 I 4i PM '73 ~ ~ ~ ~ ~ ~ ~ - ~ ~ ~ ~ ' ~ ~ ~s • ion boaks reo en and ~ I FUKTHFR CEP.TiFY that 1 wili r~~~ster at ~m lo~a! ac.dr~ss ~vhe~? the reg~.trat p. ~ ru~~~~~ly ~~ith all othrr req~airem~nt; of a legal resiJent ot~ this State. I E~l,'RTNER~T1Fl' tl~at 1 hati•e nc~ intesition to return to m~~ forn~cr clomicile, and 1 intend to remain in - ` ~ , d f" --,,`"~~G~ - • - • Countv, ,~~ri~.i,~,,.p~fmane:3tl~•. -ic-~t. ~ _ `C~'~•J•,1•~`tf''-.:l.' ~ ~ . _ - ,t _ - - --Q'~--~~ ~ • - ~ ~ ~ • r, - (1ame ~ ~ ' • ~ - - fF `1 ~ \ ~ . . _ _ - l ~ i - _ _ . . _ ~ ~ ~ - , _ ` • . ~tlddfG33) ~ ~ y, _ ' ' • / ~ ~~".~wor~~t4an~.aub~before me this day of ~ , _ , " ~ _ - ~ ~.~~~cc - _ _ A.D. I~)! 3 _ ~ _ _ ~ ~ --~,_t -f~~' ~ - - - - - - _ - - - ~,urr Nublic Sta~c uf fluiida al larcr .r, ~ ~ ity Commission expires_~ _ _ _ / ~ _ J~ ~ ~ (Tu e~rcuted ~n Jupficrti anJ un~inrl f~lyd ~~ith l'lert ('~r.u~t Cuutt. anJ duplkate a~ith Taa Assesu?r) ~ s°e~~ ~r~~~ :~0~ . _ . . ~ - - - - ~ 7 ;n~. . : , : ~ ~ ~ ~ . . ~ _ .i ~,L,. .,3 -r F .;1 ? y _ - _ _i : ~ } - . '`r'^~A1J'r' , _ ~..y,~r_« ~.1~- ~'i ' ~`k __.A ~t'