HomeMy WebLinkAbout2478 De~~~r~~~~on c:fi DQmic~~~ ar~d Citiz~r~ship
TO TIlF. ST~A7'li AN!) ('UUN7'Y 7~AX ASSl:SSOlt,
st . Luc ie 2s4QS4
COUi~TY. I'LORIUA:
Tl~is is nty d~c;laration of 1)omicilr and C'itiicnship in the Statc af florida ~i~at i am filing this day in
accordancr, ;ind in coiifonnity with Scctiun ~22.17, Flarida Statutrs.
I~vas forn~erly a leg.?! resi~lcnt af _ ,~_~_S s ~ u~ 1 and 1
, ~c~~y). ~sa~e>
r~sided at _ A/N St a~?viYlBF,PS ~ . However, I have changed my domicile to
~ • ~ (Strcet and Numbrr)
and am and have Ixrn a b~na fidr resident of ti~.~ State of Florida since day of
S . `n 6 ~ r 3 . 11oW : ~ _
--r 19_Z__.~, and 1/freside, at / L 7 N r- r
(Street and Numbet)
Po PT ,S T_ L U ~ 1~ , St . Lucie County, Florida,
(Cicr)
and tltis statemcnt is to be taken as my declaration of citizenship, actual legal residence and domicite in the State
of Florida.
(I~sert here any perlinent facts, such as sale ot property or business~ or relinquishment ot employment at former
domic~7e, removal of famity to new domicile, purchase of home, rtc.)
E~P~~yE.~ ~rFR~
Entering children in school:
/Q / C/Y R D K~E g 8 ~
/~'j~~?G.~lilFr t~~86 ~
~EO ~t~1; kFC,1o~
ST. t~L'IF i.~UN7'Y
CIERKCi:~;~UI C~lIRT `
~ECtlR~ 1?r~:=t~d.~
SEr 10 12 ~ p~ ~73
264094 -
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I FURTHLR CERTIFY that 1~vill register at my local address when the registration books reo en and
P ~ ~
canply with all other requirements of a legal resident ot this State. ;
. ~
I FURTIiCR CEItTIFY that I have no intention to return ta my fornier domicile, and I intend to remain in ~
Po~t S T. L vc/f St. Lucie . '
. } , County, `
Florida, permanentl~~. «'ty~ ( u/ e b 6
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~ ~ 1 ~ , , (Name) {
U„ ~y .c
;~j ~ '~jJ• ~~~~'`fG:p'r. • _ ~~7 ~'~t /sJE T ~BQJ` .ST. LU~~E
••y ~,~h ~ .
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dro.
~~~11ICI Sti~iS
ri~rd l~efon• mc t1~is -z 0 ~ -
~ , . _ _ ~fa~ c~f
- ..1 .~':,~°i.-~ ~ ' 7 ; ~
~ ' •~v A.i). 19.---73--
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"~~.~~~~?,~~'R/`1S, CLE;tK CIRCUIT COURT
-2--. - -
' - . l3~ . ~ . ~1r1 t _ ~ BC~K ~10 ~'A~E 24 ~5
)C}~!1`.~* C~.~1'~'
('(o I~r cLrcul~•~t i*• duj~ti..~~r ..:~,1 .,~i; n~.~l tJ:•il Ih l'Irrk ('ircui~ ('uurl. •ruJ J~~,hcalc with Ta~ Asxssor) .
~~~as'*~.-~.~;rat"'~-,._s.~~ , ' ~ " .
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