HomeMy WebLinkAbout2427 Deci~ration of Domicii~ and Citiz~ns~ip
TO TIiG STATG AnU ('OUNTY~ 7'AX ASSL~.SSOR, 26s~38
St .Lucie_ _ CUUNTY, FI.ORIUA:
Tl~is is my drelaration of Uamicilc .~~~a c~c~~,:~~sn;n in lhc Statc of Florida that 1;im filin~ this day in
accordance, and in confonnity with Section 222.17, Florida Statuics.
1 was forn~crly a Icbal resident of _ ' and I
(c~~r) (sa~~)
resided at (~~AJ4/ ~aS~~t~2 'rvT~~/d~o ~ C~.t6 a . However, I have changed my domicile to
(S reet and Number)
and am and havc becn a bona fidc residcnt of thc Statc of Florida since day of
now
, 19-y and I/~cside at ~~~6 ~~~P~'~ S T
(Street and Number)
J~D ttT/t ~ R T ST• ~/~C/ /s , St . Lucie County, Fiorida,
(c~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
(Insert here any pertinent facts, such u sale of pruperty or business, or relinquishment of employment at fo~me~
domicile, remoral of tamily to new domicile, purchax ot home, ete.) ,
~s'~'`'~' ,t Y /a
y ~ d ~ ~ ~J I ~o .L, ; T ~9- s a ~ v~ ~ ~~r ,E
1~F. ~~~~O~F~ G~Id~~lN~ Q~~r~.ts i~7-T~rF y.t• N~
S P v .~a,..a ~3c~y ~'ct ~G
~y'~n~erin childfen in school: D
g ~
FILED ANO RECOROED
ST. LUCIE COUMTY fLA.
ROCER POItRAS ~
CLERK Ctn^GUIT COURT
; RECORR 1fERIFtEO
~ OCt 1T IO 38 AM'73
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I FURTHER CERTIFY that 1 will register at my tocal address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FU ER CERTIFY that t l~a no intention to return to my former domicile, and I intend to remain in
~ ~-;1~!` ~-tul ~ St. Lucie , CountY.
~ Florida, permanently. ~c~~r~
~ ' ~ - ~
`,•`(iN(t~ffl~~~~..t ._•s' . ~ '
" ~.~`-~`U ~~-.,°C ` aiYV~
~v ~ •~~y~~~ ~ '•.,yr ' Name)
; ,~~ry~il~f f. G~y
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~ : , c J' y - i/~~m f ~ r ~ f N ~
~ ~•Y'~• • a ~ - - (Address)
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~ ~5'v~~~i<~a d~ ~ ~5~~~~bctorc mc tl~is _ , day vf
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G~ _ c~ 73
- ''L.,,-~r-~-''.~f''_------• A.D. 19--
~ROG~'~"~''OITRAS, CLERK CIRCUIT COURT
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~ `eputy Cler 30G~ r~6C~~~~
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(Tu bc cxcculcd in Ju~,li~ ~tc rnJ ~~ni~in.~l fil.• ~~h ('1.•rk ('ircuit l'aurt. anJ Jupliralc Nilh 7'ax Asxswr)
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