HomeMy WebLinkAbout2694 T. c-eoi•D (50I?i-a-03)
Declarcction of Domicile aad Citiaenah~p
TU THE STATE AND COUNTY ~ TAX ASSESSOR, 2,,~~5
. ~ Lucie COUNTY, FLORIDA:
This £t my declaratiou uf Damicile and Citizenship in the State of Florids t6at I am filiug d~is day In aovord'
aacet aud in o~nfozmity with Sextioa 22217, Florida Statutos. ~
I was formerly a legal residenc of _ ~aneohe Hi ~=~f._._-
(q~r) (6tw)
and I resided at ~9.Sz-~~ Nahiku P~,$ice . However, I bsve c~w~+ed my d~omici4
( Street wd Numbar )
to and am and hav~ been u bona ftde resideut of the State of Florida slaoe ~"~v ~
_ 19~.3, and I reside at See b~ ow -
(Street ~od Numb~s)
County, F1ori~da.
~~ty~ .
and this statemcnt is to be takea as my declaration of citizenship, ac~ual legal residenoe aud domtclle in ths State
of Florida. '
(Iasert here anY PeKincnt facts. such as sab ofpro
P~x ~ b~. ~~'4~~ ~~P~f'~ at
furn~er domic~la removal oE family c~ new damtciie, wrchare of 6ome, etc.)
I ov~m land in St. Lucie-County, Florida, where I intend to make my
home. I am employed by the United States Government and am presently
assiqned to duty in Gern~any. When I have finished my tour of duty
and have returned to the United States, it is my intention to acquire
a permanent residence in Florida. I consider myeelf a leqal resident ~
of Florida at this time but have no permanent street address for the
reasons above stated.
i i~
~uciE couM~r
~ , ROCER POITRAS
f CLERK CiRCU1T COURt
RECORO VERtiIED
Miur 1 2 38 PN'13
253905 .
1 FURTHER CEItTIFY that 1 will register at my local address when the registratiou bookt r~pcn, and
c~u~ply widi all odier requirements of a legal resident of this State.
I FURTHER (:L:RTIH'Y d~at I have no intention to retura to my former domicile. and I intend to rcmain in
St. Lucie
( c~cr)
pennanendy. ~
(Nawe)
s O/s ~-ssc h
~ vP T
,9ov ivf
t~aa~~,
Swun~to and sui~cribeci before me this ~ day of l.~9 A
, ~ ~ ~r
~ ....i.:.' : A. D. 19~
.
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; ,pka in dup ' te and oriQioal filad Cxetk Court, ~od dupllc~b M?Nb Taa AM~rror)
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