HomeMy WebLinkAbout0072 Dec~~ratian of DomiciD~ and Citi~~n~~~p
"t~C1'1'llf: SI~A'l~l: Ai~U ('UUNTY 7'AX ASSt:SSOR. 2~~18
St.Lucie
- - - CUUNTY, f~ L.URI1)A:
"Il~is is tny dcclaration of Uomicih and Citiiri~sf~ip in thc Statr ~~f I~Ic~ri~ta that I am lili~~~~ this day in .
~
:~c~:c~rdanc~:, an~l in cunformity with Srctiun ~2'.17, I~lorida Statutrs.
1 was fornicrly a Icgal residcnt ot - . _ _ • _ _ y_ and I
(CitY) (State) i
residcd at -~~~__~~~1 . Howr~~rr. I h:~~~r changcd m~~ domicilc to ~
(Strert gnd Numbcr) ~t ~
and :?m and have txcn a bona fide r~sidcnt of the State of F=lorida since vn~ ~ day of 's
110W i~ , !
__~"'''"_~'1 , 19 ?3
- and I /~rc~idr at 1~_~3- e1 _ _ C~- L~ :
, ~ (Strert and i3umber) ,
~ . St. Lucie County, Florida, ~
(c~~r) ~
and this siatement is io be taken as my declaration of citir.enship, actual legal r~sidence and domicile in the St~ite
of Florida.
(Inseti he~e any {+ertinent facts, such as salr oi property ur businrss, or relinyuishment of rmEduyment at former
domicJe. rrmural of family to new domicile, purchase of h~eme, etc.)
Entering children in school:~ Nomestead Exem tion: ~
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~Or 1~ i0 i3 ~H '73
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~ 1 FURTIiE R CERTIFY that I wil) register at my local address when the rrgistration books reopen, and
~ comply with :~11 other requirements of a legal resident of this State. _
'
~ I FURTH R CERTIFY that I have no intention to retarn to my former domicile, an~l ~ intend to remain in
~ S... Lucie
~ ' , County,
~ ; (c~~r)
. Florida, perr~~,~qentTy:i,
M~ •,1; ,,C~.
T: ul~...'' i ~ ~~~~A" ~rl!
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• . `~J : '~x i' -
' ,F i ~ (Name)
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Swoi~~~to~~tct.~+~ cql~~4i1 beforc me this day of
~s , .
~ - - . . . . . --~/ove~~, A. n. t - _ =
9__73 ;
ItOGER POITRAS, CLERK CIRCUIT COURT ;
~ - - -
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~ - ~Y- • ~ - N 800it F'AGE ; ;
eput}~ Cler , _
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~To bc cz.•cul~•J in duylirale ~nJ ~.rigin.~l (dc ~th l'Irtk l'ircuil ('uurl, anJ Juplicr~r N~U~ Tai A.~~ ~~~~r) !
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