HomeMy WebLinkAbout0995 D~cl~r~~ian of Cami~~~~ and Ci~izEr~shi~a
'i'U '1'tll~ S"fA'i'1: Ati!) ('OUf~TY 7'AX ASSI~SSUl2,
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Tl~is is my dcclaration c~f Uo~nicilr an~l ('itirrmhip in thc St.itc ol~ I~lorida that 1 am fitin~; this day in
_ c~u r^~~I~n~li1V WITiI Cf'l~~l[lll 771_ ~ I_ F~(1(~('i~ Sta~~~~iC'~$.
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I~vas forincrly a Icgal resid~ nt ot~ t~ ` ,~~~"~C~~~~ and 1
~c~~r). (s~~<<~
resiclr~l :it 3`_~~~~'~ _ . Howcvcr, I havc changcd my domicilc to
~ ~ (Slree! and Nu rt)
and am and havc bccn a 6ona fi c- resident of the State ot' Flarida sincc ~ 0 day ot' _
now .
, ly_,~, and I /res~dc at _~3~ 'Lc-~
~ ~ rt and Number)
~ ` _ -~~;~~L-- , St. Lucie County, Florida,
(Citr)
and this statement i~ ro be taken as my dedaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insert here any pertinent factc, such ss sale ot property or businrss, or relinquishme~t of employment at tutmer
domieile, remaval of family to ne~v domicile, purchaae of hume, ete.)
Entering children in school;
.
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I I FURTHER CFRTI~Y that I wiil register at my local address when the registration books reopcn, and
~ comply ~vith ~I! other rcquiremrnts of a Icral residrnt of this State.
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f I FURTHER CEIj~lTIF'Y that I ha~~e no intention to return to nty fornier domicile, and I intend to remain in
;
~ Lucie -
t ' Gounty,
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i ~lorida, per~nanci~t -~c~eY~ _
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' 3yv~bfh•~'tf~':t}tc~'xtt~CC~ccl b~ f~cn~ me tl1i~ da~~ of
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- ---,~~=tCO''~~=-~c.~1 1 A.l). I~) _ 73.,
ROCI:K POI'~'RAS, C1.ERK CIRCUIT COURT
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4 ~ BCOK2~8 PAGE
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