HomeMy WebLinkAbout1997 ~~c~~~ a~ian af ~or~ usz~ ~i~i~~~: c~E~;:;~ ~ '
1(~ '1'l il: S"fAT~ AND CUUN"1'Y TAX ASSI:SSOR, ~
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s~.Lucie _COUN1~v, r•LOiiiu~: 26~956 .
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'This is my dcciaration oC 1)omicilc ai~d Citiz~nship in thc Statc af rlorida that 1 am filing Iliis day iii ~
accorclance, and in conformity ~vith Srctioi~ 22 .17, Pl~ri~la Statutcs. ~
I~vas formcrly a Icgal residcnt of • V~" A . e~ a~d j ;
(c~ir) (s ce)
resided at a X . However, I have changed my domicile to
- (Strtet ~nd Number)
ancf am and have becn a bona Gde residcnt of the State of rlorida since day ot'
now -
, 19~ and I /~csidc at ~~x ~ ~
~ ~ (Sttett and Numbe~) ,
~ ~ g RGC~ ~ St. I.ucie County, i'lorida,
(a~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 perlineat facts, such as sale of property ot ~usiness, or relinquishment of employment st former
domje~e~ removal of family to new domicile, purchase of home. etc.)
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Enterin children in school: ~ Homestead Exemption ~
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- ' FiLEO lh~~ kEC~:R0E0 ~
~ ~ ' ~ ~ . . ST.IUCSE r,OUNTY FlA_
- ROG~ ^ = viTRAS
, • CtE~r. - :UtT CCURT
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~ ~ . = - 26'7996 . :
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
eomply with all other requirements of a legal resident of this State. .
~ I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ S~ . Lucie County,
F'lorida, pcrn~anently. ~~'~r~ ~ ~ - . ~ ly~-bh a r d)
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• J~:~.,~ j• " (Address)
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~ Sworr~ t+o. @r~~b~.~ril~c~ bcf6r~ jne this ~ day of - ~
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~ _ . ~ /_~D (1 , A. D. 19 ~ 3 ~ - • ;
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~ ROG~`~ ~R~YS~~~`CLERK CIRCUIT COURT ~ .
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. . . ~
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~ - . - ~ • - _ -13. ~eputy ~ •
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" (To be taeculrJ in Juplicale anJ uri~:ioal rJ a~ilh ('la tk Ciri uil Coutl, and Juplir~te Nith Tatt Assesuu)
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