HomeMy WebLinkAbout2348 . . _ _ . . • _ . . . - - - ~ ~ •
f.~E:C~Cif!'~' ~tC~C1 O~ ~Q~iCit~E'. C~Ei~ .
TO TNC STATE ANU COUNTY TAX ASSESSOR, -
ST. LUCIE CpUNTY; FLORIDA: 261895 ~
This is my dcclaration of Domicile aad Citizc~iship ~n the State of Florida ihat 1 a~n fiting this day in
accordance, and in conformity with Section 222.17, Florida Statut~s.
I was formerly a legal resi ent of ,~~~~tijr~ and I
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resided at , ~ ~ . How~.wer, I have changed my domicite to
csae~ ,~a tv~mea~
and am and have bccn a bona fide resident of the Siate of Florida since ~ a , day of
~ , 19~....~, ar~d raide ai -Z a.Z ~ L~~i2~~
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S? _ LUC E County, Florida,
(o~r)
and this statement is to be taken as my declaration of citizenship, actual kgai cesidence and domic~7e in the State
of Florida. ~
(lasert hece aar petlinent fxts, sucA as salc o[ proputr or Lasiwess. ar ~qaisi~eat d c~pioime*t st (o~v
domicle. remoral of tamilr to aew domicie. Pnrclase o! J~o~q etc-)
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Applying for homestead: . _
Enterin children in schooi : ~ ~
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Other:
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261895
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a I FURTHER CERTIFY that I will register at my local ~idress when the r~,ristration bools reopen, and
~ comply with all othcr requirements of a le~al resident of this State.
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~ I FURTHE ERTIFY that I have no intention to retum to my fonner domicile, and I intcnd to remain in
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` - c! St . Lucie County,
; Florida, permanentty. cc:'~'~ '
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~ Swb}~~ ~n ut~$~~ betorc mc this ~ day ot
~ -.z~' ~~Z r-`,` A.D. 14 73 '
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' ROGER POITRAS, CIERK CIRC IT COURT
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