HomeMy WebLinkAbout2541 262042 ) -
, i; ,.~t. R` - .•~:e,~ ~..l~t r`~;,R' ..-p,,
~ ~.:'..~lC.,'t G:E.t`.s c t ~t ~,:~LJ'S C ..•i~... G~ t`F ~SL tt: ! _ t `
'1'U Tlfl: S"CATI: AN1) CUU\'I'Y TAX ASSI~SSUIt~ ~
~
ST. I.UCIC `('OUN'1'Y; I~LOI:IDA: • ~ ~
Tlus is my dcclaration of Dc~micilc aiul Citizcn~hi~~ in tlic Statc of l~larid.~ that I am filing this day iit
accordancc, and in canforn~ity with Scction 2~2.17, t~loricia Statut~s. .
I was fornicrly a Ic~at resident of r~ ~ rd ~ C/ on n e C_ u~ and I
(c~~r) ~ (st~~e~
residcd at ~r e a~ a v . Ho~vcvcr, I havc chan~cd my domici o
(Strect and Nfumtx~)
and am and )~avc bccn a bona fidc residcnt oC thc Statc of 1•lorida sincc day of
~ , 19 and 1 reside at 7~ 5 ~ r c~~ c~ ~~,c~
~ r~ C l, ~ (Slrcet aad Tlumtmr)
~ , _ ST. I.UCIE County, Florida,
- (a~r)
and this statement is to be taken as my declaration of citizenship, actual Iegal residence and domicile in the State
of rlorida. ~ -
(lnurt he~e any pertinent facls, such u sale of propctty or busincss, or telinquishmcnt of employmcnt at former
domitile, rc~noval of family to ncw domicile. purchase ot home. etc.)
. • ~ .
Applying for homestead : . . . . . ~
. Entering children in scnool :
~ J'r ~ c~ h~ e l_ - ~
Other: ~ - ~ ~
. +~~TM~ - _ _
' - AOCf~t ~1T~ ~
~ ctE~c t.,~:cWr catRT ` . .
~ ~ ~ 1tft0*Ti 1/f4'ftED.`1~
{ ~ ~.Ti
t
i _ . . , .
~ . ~ - ~ 11 ~i~ s6 At!'73_ .
~ .
~~~2 .
I FURT111:R CERTIrY that I~vill register at my local address whcn the registration books rcopen, and
comply ~vith all othcr rcc~uircments of a lcgal residcnt of this Statc.
I FURTI-IC rRTIFY tliat I l~a~~e no intention to return to my tormer domicile, and I intcnd to remain in
_~j~ _ S t~. Luc ie , County,
~ Plorida, pcrmanently. L~ i b 1~~ S c o~ ~
~ . - ~I,~
~
~ . . . ~ c m~~ ~ n
~ -~~U yQ ' "~S,S`~ , C ~ ~7` I /
•c ~r
.~~~~'~~i
G; , ` t~aa«u~.
:
: y .
SiYt~~~ and 's~~.}cftlicd Ucforc mc tl?is _ 7" v day of
_ : , . `t, .I). 19_ 7 3--- • .
~ • ..i`'~`S..
~ , ~
,
1;:iCL•'1Z•~~~i}~~~~~R/l.`; ~ CLi?l~l: CT1ZCt1T' COliliT U R
, ae~x2~~
~ D.C
~'y c
~ ,
~
: . ~ h
4~ , ~ ~ -~~~a~~~
~ ~