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HomeMy WebLinkAbout2676 I I` • •C t '~,~h,• ~ ~ ~r ~ ~ ~.1 .a~ ~ i~,•~ ~ ~ ~ r.~ p.. r, ~ ~ , ~ ~ ~ . , :~tC~Cr:l~~t~ ~ Q1~ k..`~Ji~C~_:.,lk....• t:~ 1~.: ~..fGl.~.`...~..alt: . ~r` ~ ~ . ~ • ~t ~ 1 . . ~ '1'O 'TIIL• STA'1'1: ANl) COUn'1'Y 7'AX ASS1rSSOlt, ' - . . ____sT. Lu.crc _ c.buN•rti~; i~~_o~tiun: ~ 262156 ~ • . , . ~ = 'fliis is my dcclar.itioii of Uomicilc aiid Citizcnshir in thc Statc of }=iorida that t am filin~ this ciay i~i . accorda~, and in conformity witi~ Scctio» 222.17, rlor' Statutcs. < i . . ' i ~ 1 was formcrly a lcgat residcnt of ~ : ~ • a~ ~ ~~~r) ' ts~~i~~ . and I ~ resided at ~ ' . No~vcvcr, I havc cl~an~;cd my domicilc to i ~ ~ (S et and humbcr) ' . ~ and am and have been a bona fide residcnt of the Statc of Florida since day of~ : i L 9~ ~ and I residc at ~i~ (Strcct and Number) . ? ~ ST. LUCIE County, Florida, ~ (c3~r) ~ ancl this statement is to be taken as my declaration of citizenship, actual legal residei~ce and domicile in the Stale f of I~lorida. - . . j . _ ~ ~ : - . (Inse~t here any pertinent facts, sucA at sate ot propc~ty or busiacss, or relinquishment ot employmcnt at former ~ domicile, temoval oi family to new domicile~ purchase oi home, etc.) - ~ ~ _ - - ~ . ' . ' . - . . . • . - ' - ~ _ . . • • - • . . •..Applying for homestead : . ~ - . . . ' . . ~ . _ ~ . - Entering children in school : ` : : ~ . - . ~ ~ ~ ~ - ~ ' . ' ' . . - . . ' ' _ ~ - . ' ~ . . 5 " • ~ . . ' • , _ Other: = ~ ~ • - - _ . . ~ _ : - - . _ . ~ - _ - : . : _ • . . . . . . . - ~ ~ . . . _ - _ ~ . - . . . . - , - ~ - . - _ . - _ - _ _ - - - . - . - . - ~ - - ~ ~ - . . ~ - . - ~ = . . . : • - : . . . . , , . . . ~ - . . . . i . - • _ . • _ . : • • - . : ~ ; • . _ - ~ . ' ' _ : - : - , ~ . ~ • - . . _ ' _ i - ' . i I rURTtiTR CERTIFY that I will register at my local address when the registration books reopen, and comply with ail oihcr requircmc~~ts of a lcgal residcnt of this Statc. . { I~ R~ICR C~ TY that I have intcntion to return to my former domicile, and I intend to remain in ~ r _ _ s • St. Lucie County, ~ I~l~ridti`}~ tlend~,:• (c~iy) ~ ~ ; ~ 'C' '~:~~.~~'G.,' . • . . ~ . ~ ; - ~ . - ~ ~ . (Name) ~ _1' . • ' • -o ///J t~ ' f t•'~ y~ ~ ` ~ • ' A~ s~ . i ~ 'i, ' ~ ~ ~ ~ / ~;~''j~'%~;•`•,. ``~~~,i` . . (nad«s~~ ; ! - ,.1 Cr~' ~ • ~ ? ` n to .uiUrf~ti4?fi~n~~ccl licforc tnc ihis-~ 3 day of FIlEO AND RE~ORDEp 3T. IUC~E COUMTY FLA. . ; ~ ~ ~ ~L Cl RK Ct~CU1T COURT ~~s . ` ~ A.1), I 9 7 3.-. RFCORO' YfR?F1~0 ~ ~ ~,:c;~;~:~~ ~~oz~r~;~~, cr_~:~;i; cr rcur•r cov~;7~ ~ 13 11 ~~Ay'73 i~ ' . ~ ~ ~ - ~ ~ ~ - - . _ _ . _ • ~ aQaK 217 zS67 ~ : ~ t , - ` : : ~"'s- .~t` ~ s r ~ . gs' ~t Y~~"' . . _ ~~~~Z:~~~~,~~_~, _ _ _