HomeMy WebLinkAbout2376 . - ~ 2629~'~'
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'f0 TI1G S7'ATI; ANU COUI~"CY TAX ASSI:SSUIt, ~
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ST. LUCIC COUNTY; ~LORIDA: ~ ~ ~
~ This is my dcclaration of Doniicilc and Citizenship in thc Statc of Flarida that 1 am filing this day in
accordancc, and in conformity witl~ Section 2?2.17, Flarida Siat«tcs. .
, ~y
I was formcrly a lcgal residcnt of - l- • and I
. - (ci~r) ' (sule)
residcd at ~3B ~ 3~~'{'' s~`. . Ho~vcvcr, I l~ave cl~angcd my domicilc to
~ (Street and Number)
and am and havc been a bona fide resident of the Statc of Florida since day of
19_~, and I reside at .Cfv_
(Stttel and Numlxr)
~ ~ u , ST LUCIE County, I~lorida,
(a~r)
and this statement is to be taken as my declaration of citizenship, actual legat residence and domicile in the State
or rior~aa. ~ ~
(Inurt here any perti~ent faets, such as sale of property or business, or relinquishment of emploYmcnl at former
domitile~ removai ot family to new domicile. purchase of home. etc.)
• • ~ _ .
Applying for homestead : . . . , .
Entering children in scnool : ~ ~ ~ ~ ~ ~
. G~~
-
Other: . . . -
; . ; . . .
~ - . . .
; ,
~ . .
~
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. . ' F1LE0 ANO RECORDED
~ sT. LUC~E COWIIY f~A. • .
CLEAK CIRCUIT COURT
~ ' .RECORD ER IEO~..~~.L'
~ - ~ Auc 1i I13~ AH'13 .
~ ~ . - ~ 26191'7 .
I FURTHCR CERTIFY that I will rc~ister at my local address wlun thc rc~istratio~i books rcopen, and
comply with all other requircmcnts of a legal resident of this State.
I FURTHCR CE IFY tl~at I liavc no intention to return to my formcr domicile, and I intcr.d to remain in
~ ~ ` St Luc ie , County,
~ rlorida„~c,t~~' ilt}y. , (c~~r~ .
yr. .
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: _ (Namc)
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S~voif~,ic; •~i'c~b,l~~'ribcd Ucforc mc this day of ~
~~!t~11~~
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_ n.n. i~73---•
}~UGL'R T'OITI:/~S, G1~T;ith CIRCII T COURT .
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