HomeMy WebLinkAbout2521 ` 262022 ~
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'1'O 'fl fG STATI: ANU C'OUN1'Y '1'AX ASSI:SSUIt, ~ , '
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ST. LUCIE `~_L~pUNTY;1~LOltIUA: ~ ~
This is my cicclaratibn of 1)amicilc ancl Citir.cnshi~~ in thc Statc oC riorida th:~t 1 am liling this day in
accordancc, and in conforniity ~vith Scction 222.17, Flarida Statutcs. .
I was formcrly a icgal residcnt of ~
p~~ S , ~,yG S and I
• (c~lr) cs~ate)
residcd at ~ • 7 Z n ? P. . Ho~vcvcr, I havc chan~;cd my domicilc to
(Stttet and tsu~nbet)
and am and have becn a bona Cde residcnt of tlie Ststc of I~lorida since _ day of
~ 19
~3 and 1 residc at ~~_.._.f r L-n~n?~~'
(Slreet and I~lumbcr)
,L~~_E ~~c37 ~ ST L.UGIE County, Florida,
~Q~YT
and this statement is to be taken as my declaration of citizenship, actual legal residencc and domicile in the State
of rlorida. - -
(Inxrt hete any pe~linent facts, sucA as sale ot property or business, or reiinquishment of employment at former
domicile. temovat ot family to new domicile. purchase of home. etc.) ~
,
~ ~ .
Applying for homestead : . . .
' Entering children in school : ? - ~-e.
- - • ~0 . -
Other: ~ - ~ . .
; . . ~
j ~ ~ . • iT *LOY~
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G
~ CLfRt t~;.~f11T C8i1~T - - ~
; - , ~!£COR~ YERIFIEn ~ '
~ - _ ~ - - ~ . 1~ 21 ~1 i 18 I~!!!'~3 -
~ _
~
2s2022
I FURTl~ER CERTIFY that I will register at my local address when the registration books reoPen, and
comply witl~ all other requiremcnts of a legal resident of this Statc. .
I FURTIiER CERTIFY tl~at I havc i~o intcntion to rcturn to my formet domicilc, and I intcnd to rcmain in
0~1, St Luc ie County,
~ Flonda, pcrmanently. ~ (~c r o 4t~.e~
~
; i (Name)
~ •'~~5'.,.i;,%~'• J:- . . ~ ,~.~~~!~!tf
~ ~~I ri •:r' _ ~ (Addtes.~) ~J_
i ~•~~i; C, '?E I . .
S~varii tn`,an~ sub~ril,~cc~b~forc mc this _ day of
~%q.;i . ,J.:,' f~+y+.. .
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~ 1;UGT:R PO~i'RAS, C11?ltl: CT CUI'f COUIt'I' gQ~~~
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