HomeMy WebLinkAbout1833 Q~~;u~u~~~cr~ ofi Qor~~ ;~~e ~r~d Ci~i~~;r~~Ei:~~ f
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l~i ti: S'l~ATE COUN'I Y TAA ASSI::SSOR, 26~8~s
St.Lucie
- ---~_CUUNTY, I~L.OItIt)A: ; ~
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'(~liis i. tny <l~•cL•,rati~n uf Domicilc and C'iti~cnship in thc St,~tc of f~lorida lhat t am filing this day i~~ ~
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:~.;,_>r~tanr~, :~nd in cc~nf'onnity wilh Section ?''2.17, Florida Statutcs.
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I~vas formrrly a legat msi~icnt ot t~.L~-- , and 1
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<<.idcd at l~~RtSl 1 . However, I have changed my domicile to
(Street and Number) ' #
;~~,~i an~ and havc bcen a bona fide rcsident of the State of Florida since ~ day of
110W `
_ , 19~.~ and 1 /~csidc at ~ ~
~Street and Number)
,~a'~'--'1~~,.~ ~ C~`~~QS . St. Lucie County, Florida,
(citr)
a~~d this statement is to be takcn as my declaration oC citizenship, actual legal residence and domicile in the State
c~f I~lOiida. • ~
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(Insert herr any pcrlinent tacts, such as sale of property o? busineu, or relinquishment oi employment at former ~
dumicile, rrmoval af tan?ily to ne~v domicile, putchau ot home, etc,) {
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Entering children in school; 'i
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ST, IUCi ~ bUMrr F~A
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` I FURTHER CERTIFY that I will register at my locat address when the registration books reopen, and ;
~ c~tz~ply with all other requiremcnts of a le~a1 resident of this State. ! j
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I FURTHER CERTIF~' that I have no iniention to return to my fotmer domicile, and I intend to remain in
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S*. Lucie
' ` y ~ COUllt~/~ i
t~lorida, p~rmancntly. (c'~r~
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~~t~Uffl t0 ~ `SU~~.'' ~ ` ~
pd . ti~ beforc jne this ! day of
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- .c' ~ ~ ~ A. D. 19- 7
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8(SG~ ~ - .~a~LERK CIRCUIT COURT ~ , ~
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..~.~-3 `-By beputy~].er ~
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~••(Tufie exetWcJ in Jupliralc anJ utigin.~l (iI~J vrilh ('Irrk Circuit Courl, anJ Jupli.ate with Ta~ Asscsx?r) ~t i
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