HomeMy WebLinkAbout2385 26192~
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'1'O "I'U['s S"TA'tl: AN1~ CUUN"1'Y TAX ASSI:SSUR, ~
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ST. LU.CIE _CpUNTY; fLO1t1DA: ~ ~ ~ ~
This is m~~ dcclaration of Doniicilc and Citizcnshi~~ in thc State af 1=lorid.~ that 1 an~ Cling this day in
accordancc, and in confonnity with Scction 222.17, I~larida St~tutcs. .
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I was fornicrly a legal residcnt of ~_,.~~u~•~- , ~ and I
' 4--~~r) (su
residcd at 1. ~~~'e~ L~ " , Ho~vcvcr, I havc changcd my domicilc to
~ (Strcct and Number)
and am and l~ave bccn a bona Gcic residcnt of thc Statc of l~lorida sincc day of
~ 19~, and I residc at
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~ (Street and TZunibcr)
P~y, ~(~J ST LUCIE County, Florida,
(a~r) -
and this statement is to be taken as my declaration of citizenshiQ, actual Iegal residence and domicile in the State
of Tlorida. • •
(lnseri here any pcrtinent facts. such as sale of propetfy ot business. or relinquishment ot employment at formet
domicile. removai of family to new domicile. purchax ot home. ete.) ~
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Applying for homestead : . . . ~
. , Q/JLI
Enterin children in schooZ : C~~
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Other: ~ - . .
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~ FiLED ANfl RECORDED ~ -
_ ~ . 5Y. IUCIE COUNTY FLA. ' -
~ ' ' RQCER P01TRA~ -
' . - ~ CLERK CiRCU1T COURT ~
RFCONS VER:FIED.,.,,~~,....
~ ~ ~ Auc 21 -12 ~q PN'?3
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_ - ~ .26192~
I FURTI~GR CERTIFY that I will register at my local address when the rcgistration books reopen, and
comply with all othcr requirements of a legal resident of this State. ~
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I FURTIiCR CE 1~Y tliat I havc no intcnti~n to rcturn to my former doFnicilc, and I intcnd to rcmain in
:x~ _ ~C . ~ St~. Lucie Count
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~ I~lorida crmancntl ~
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~ - r~,'~~`a~~M~± ~1s' (Namej
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S~vqro t~a~;~t+bv~~~d~cforc mc this ~ day oC
- - " C 0 . ~ ~ _ - A.n. 19_ 73---• .
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} 1t0 ;~R POI'I'lt/1S, CL1:RK CTl tlIT COU121 . -
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