HomeMy WebLinkAbout2384 . ~ 261923 ~ ~
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7'O TI1C STATL= AhU COU,t1Y TAX ASSL'SSOR, ~
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ST. LUCIE COUNTY; I=LORIDA: ~ ~ ~
'[liis is my dcclaration of Damirilc and Citizcnship in thc Statc of Florida tlr.~t 1 am filin~ this day in
aocordancti., and in conformity with Scction 222.17, Floric~a Staii~tcs. ,
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! wai formerly a tcgal re~ident of ' , ~l t~~J~f If ~l G~ and I
. _ (~ytr) (State)
resided at ~51 ~`a ~l~ ~ ~ . Howcvcr, 1 havc chan~;cd my domicilc to
~ (sv~ xe~on~
and am and have becn a bon3 Cde resident of the Statc of rlorida sincc day of
_ ~7~~ , 19~y and I reside at .1~[73 S. ~~YC~ ~t _
~ ~ (5treet and Number)
~ . ~ ~c _ ST L.UCIE County, rlorida,
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. - •
(lassti ~ere swr oertinent [xts, such as sale of property or business, or telinquishment of employmcnt at tormer
dosicie. ecmoral of taailp to neMr domicJe, purchase ot home, ett.)
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Applying for homestead : . _ . . . . . ~
.
~ Enterin children in school : S~.v-~ ~ ~~''`~~Y -
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Other: ~ - ~ . - .
f II~D 1?NO RE~ORp~ ~ .
~ ST: LnCIE COOIITY fl~. ~ ~
- ~ _ ROCEit ?O1titAS "
- = CLERK GIRCUIT C01lRT . • .
RECORO VERtfiEQ ~ -
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; _ . - I~c Z~1 IZ-ii PN'Z3 ~ - . . -
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~ - ~ 261923 - :
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I FURTHER CERTIFY that I wili register at my local address when the re~istration books rcopen, and
comply ~rith atl other requirements of a legal resident of this State.
I FURTHCR RTIFY that I have no intention to return to my 1'ormer domicile, and 1 intend to remain in
~ _ ~ St~.~ Lucie , _ County,
~ Hlorida, permanentl~~. ~~'~r) ~
~ ~ •
, ~ i3 T~_ 1 ~i rvl C ~~r n~c i 1c .
~-G~ O•'- (Name)
. :~~,~v~ . T~'GL~J? ' .
~ fyf.. . o ~ (AdJresc)
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~-S.v~p . " ~ ~rib~c! l~forc mc ihi; ~ day ot ~
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I:t}'.;EI~ POITI:AS, CIT-.RK CIRCU 'f COUt:T ~ R~17 ~
bGOK PACE
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