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HomeMy WebLinkAbout2601 . . . / a • r . .e ? t,•r„ ~ •t ~ .-1{~ t-M ' ~e • .1.~: r • ~ . , ~r~ . .~.C:Gcc~c:.::~~~~~ Ctir• ti...~~.?':~ti~•...t..... ~.,~~r.t:~~:.-~~~:•:~~~~ . 'I O"I'lli: STA1'1: A1~'1) CUU1'1'1' 7'AX ASSI:SSI?It, ' • . ~ -ST. LUC1-E C'OUN7~1'; 1~1_U1~1llA: . s~~ . . ' 'fl~is is my drelaraiion of llomicilc aiid Citizcnshi~~ in th~~ Statc ot' 1=torida.that 1 am tilinp, ll~is ctt~y in s accordancc, and in conformity with Scction 222.17, l~larida Statutcs. I was tormcrly a 1cUal residcnt of ~s c~~ - ,~~ojOG~~ and I ~ ' (ci~r) (s~~~c) • • ~ Y .I~ C / ~ G ~ ~/I/V i residcd at ' . Nowevcr, I i~avc chan~cd my domicilc to (Street artd A'u~iiber) ~ ` a~~d a:n and hati~e becn a Uona fidc residcnt of thc Stsitc of 1=lorida sincc day of' ~ ' : ~ ~7.J ~ ~ , , 19_, -C ~ , ~ and I residc a''t ~ , ~ ~ ~1f1/~ 3 ~S~e%_a..~.~~-~-~-.~-Y .~Q ; ~ (Strcct and Isumtxr) ~ sT . LUC7 ' ~a~y~ . - County, rlorida, ~ and tl~is statement is lo be taken as my declaration of citizenship, actual legal residence and domicile in the State ~ 01 rlorida. - . (Insert I~cte a~y perlinent facts, such ss sale of ptoper~y or business, or relinquisl?ment of employmenl at fotmer domicitc. tcmoval ot family to ncw domicilc. purcliasc of homc. etc.) ' j . ~ . . . t - ~ . . . • . ' . . . . 3 _ _ • . • - ~ . ~ . ~ • . . ' : APplying for homestead : . . . ~ ~ ~ - - : . . ; _ . ~ Entering children in school : = Q-. - ~ ~ ~ ~ . Othe r : ~ - . - • - = _ . . : . _ - _ . ~ . ~ . . . - - - - - - _ - . - , . ~ - ~ ~ : ' ~t~°~~t? e~FS~ . . - - . . ~ ; - ~ . . ~ - _ - . - . . . . oc~~~.a~!i~~'~ . _ : , . . _ , . . . : R~ ~~3Ra y~jr~f~ C~!!R~• . ~ ~ . : - : _ : - : - . . - _ : _ - - ~~:.It ~ :3 pK'7~-. - . : ~ - . . : _ . . _ . - = ~ - : - - E - - . _ ~ ~ ~ . ~ - _ . . ; . . . . _ - . ~ . ~ ~ . . . _ : - . ~ - ~ ~ . ~ . 262Q9~.=..~~ ~ - ~ = . - ~ ~ ~ ~ ~ . ~ : . _ : - _ . . . . - : ~ ~ - ~ . ~ ~ ~ - - I I~URTIUR CGRTIrY that I will rcgistcr at my local address whcn thc rc~istration books rcopcn, and ~ comply ~vith atl oU~cr requircmcnts of a lcgal residcnl oC this Statc. I rURTIILR CCRTI~Y that I havc no intention to tetur~l to my. former domicile, and I intend to remain in € • - - ~ . ~ :a.. ~y~t~_ St~. Lucie , CountY, I'tond<~~ 3~ ~ (Clty) w~ E' S Y- J O r Cin /V ~ 4 .1~ r~~ ~y'~~. ` ' , s , . . 'Ir' Q L; ~1" • ' h.f,n V ~ Q..Q~z c''/ ~ • • ~ ~ y.s I~"r' ~ _ . . . ~ING~ ~ s ~ ' ~ ~ ` ;,r'' : i ~ ; w : - . ' ~ y~~5-' ~Jt,~,r-~z-~,~.«_ ~ ~ ~ ; ~ /~f~ ~ •is*,'~..•0f , r ^ ~ ( ress) t ' E~ C ~ - ~-~-z . /.,2 . ~ `;~vc~~n ici':iti1i~.'~'ti~,scribc~l brforc mc tl~is ~day of - ~ i - - ~ : /~.f), t9---~'---• ~ . , ~ • { ;;;_;~:j:l~ a~oz~~~~c~? cl_~:~;~: CTI; ur•i• cov~:7~ R BCOK ~ PAGf 2~a7~ i ? : ~ ~~,\C . • • - ~ _ ` - - _ .