HomeMy WebLinkAbout0284 neclaration of Domiciie and Citizenship
"1'U TtiF: STr1Tt: ANU ('OUN"TY "1'AX ASSE~:SSOEt, 2~341
St. Lii~ie ('UUN'fY, FLORlDA:
"CITi~ i~ my drrl.uatiun ol~ llomicil~ and Citizcnship in thr Stat~ of Florid~ ihat 1;~m i7ling ihis day in
arcoraance, an~l in cont~ormity with Se~tion '?'_.17, Florida Statutrs.
I wa~ forn~rrly a Ir~al rrsid~nt ot' New Yvrk_ City_ Queens Co. New York ~nd !
1('i~y) - --~Statr~ -
62-67 60rh Ave.
r~si~ied at _ _ - _ _ . _ _ - - - _ . However. 1 h~ve changed my domicilr to
. lStrrrt and NumArr)
.~ncf ~ni .+rtd havr brrn a hona lide r~sidrnt of th~ Statr ot~ florida since 2~h day ol
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June ~ 7 3 ~ ~t 619 Wi 1 Z ows Ave . R iver Park
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Ft . Pierce St . Luc ie County, Florida,
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and this statement is ta be takrn as my drrtaratian of citircnship, actu~l legal residence and domicile in the State
c~f Florida.
(Insrn hrre •rny prrtinrnt facts, such :?s salr uf pruprrty or husinrss, or relinyuishmrnt of rmployment at tormer
domicile, remo~al of tamih• tu oew dumicilr, purchax uf humr, rtc.)
Establishing residence
Will enter children in school~
2nd grade, 4th grade, 6th grade, 8th grade 9th grade
and 11 L-h grades .
258341
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RO YERIFIE~.~~,~,~
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' 1 FURTHER CERTIFY that 1 will re~~ist~r at my loral address when the registration books reopen, and
~ comply with all other rrquiremrnts of a le~~al resident of this State.
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' 1 FURTHER CERTtFY ti~at i ha~~~ ne~ intrntion to return to my fornier domicile, and 1 intend to remain in
: Ft. Pierce St. Lucie County,
:
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Florida ~rmanrntly ~c~«? -
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f o r, ~~~1., - ,
~~y:~C.(~!r-~- - - - -
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o`~ ~ ~ William Spreitzer
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; • j: ~ ~ = (Address)
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~-;,~6ty~ria~to~~d ~rTbscribrd beforr mc thi, ~la~~ of
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_Ju lY--- 1. D. 1~ 7 3 -
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Notary Pubtic Statr of F7unJr at Larce
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; My Commission expirrs _ _ _ l _
k (To he r~rcutrd in Jupl~:atr ~~nd un~in.d filyd ~vilh ('Irrk ('ircuit t'nurl, and Jupli.a[r ~v~th Tax Ascecsor)
°~~K 216 ~ z~?4 . _ _
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