HomeMy WebLinkAbout0143 r
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~~clara~€on a~ ~a~~ic~~~ ~r~~ C~~iz~r~~h~p
TO TIiC STATC AND COUNTY TAX ASSGSSOR~ _ ~
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COUNTY; ~LORIDA: ~
This is my dcclaration of Domicilc ancl Citizcnship in the Statc of Florida lhat I am Cling this day in
accordance, and in conformity with Section 222.17, F1oriJa Statutcs.
I waz formerly a legal resident of ' nd I
. t r) (su
resided at ~~~C ~~/~~d • . However, I have changed my domicile to
(Street and Numbe~)
and am and have been a bona fide residcnt of the State of Florida since day of
, 19~~, and 1 residc ~
_ (Street aad mber)
~ County, Florida,
(a~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. .
(Insert hae any pertioeot tacts, sucA as sale of property or buseness~ or telinquishment oi emplorment at tormer
damicile. removal of family to oew domicile. purcAase of home. etc.)
. • .
Applying for homestead . . .
Entering children in school :
J%'~ ~.~~~c_~ - .
260310 ~
FILE4 AN~ P.ECORQEO . • •
ST.IUCIE COUNTY FLA. , ' -
ROC~~ PJ 'RAS • +
CIEiiK C "~~illT CO!!RT ~ • _ '
RErAa^ vE~' =1E~.._..~_ '
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y I FURTHER CERTIFY that I wilt register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
!
; I FURTHCR CE IFY that I havc no intention to return to my former domicile, and I intend. to remain in
; . _ .
County,
Florida, pcrmanently. ~~"r~ ~ ~
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' S~ni~irn ~Ev~O ~irbscribcd beforc mc ihis ~ day of .
a ~r.: ~ 3 ,
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RU':, PO AS, CLERK CTRCUIT COURT
; L~y a.-~-t.,~G. ~~-t D. C BoOK ~1 1?ArC Yi
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