HomeMy WebLinkAbout0087 ~ .
' ~bi~`7:3U
~~~t~~~~i~~ ~f ~~?nicile and Citizensh~~
'I'O T111: S1'A'I'1: AhD ('OUI~1'Y 'I~AX ASSI:SSOIt,
St.Lucie _ ~
- T---- - CUUNTI'. FLUK I DA: ~ -
"Il~is is my drelaralion of Uomiril~ ancl Citizri~ship in thc Statc of Florida that I am iilinr this day in
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accor~tai~rc, and in confonnity with Scction ?3~.17, Florida Statutcs. • ~
1 was formrrly a Irgal resident of ~M ~~HF , u~ 2- and t
. (citr) :~::.:r;
rrsidcd at 1_~!~_~J~~'i ~_•Lh!~JE However, t have changed my domicil~ to
(Slreet and PtumArr)
and am and have becn a bona fide r~sident of the State of Florida since day of
now
_ D!~ /~1
bEP , 19_'`1~3 , and 1 /Ecsidc at A. ~~a- '~T '~//5~
(Street snd NumDet)
~~~~h r~Q,eh _ . St. Lucie - County, Florida, ~
(c~iy) "
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
(Instri hete any prrtincnt facls, such as sale of property or business, or telinquishment of employment at formet
domicile. temoral of family !o new domicile, purch•rse uf homo, ete.) _
Entering children in school:~~ Homestead Exemption: ~
TAm~~ ~.y~rJ /~u,~phy ~ W7`~ ,
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~oy ~,e~,q e/ ./hu~p `iy - ~ . ;
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I FILED ANO.RfCORDEO
E ST. LUCIE COUFIrY FLA.
: ROCER POtTRAS ~
~ CIERK CIRCUIT COURT
~ . RECORD VERtF~EO..~.~..~
; _ -
~ Neri 19 i i o3 AM'73
~ o
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s ~VV / ~O
. ~
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~ I FURTIIER CERTIFY that I will register at my local address K~hen the registration books reopen, and
~ comply with all other requirements of a tegal r~sident of this State.
~
~ 1 FURTNER CERTIFY that I ha~•e no intcntion to ~eturn to my forn~er domicile, and 1 intend to remain in
~r~~er~ ~E eQ.ch _ _ St . Lucie , County~,
Florida, pcrmancntly. `
- -~ct~ ~ ~
~ (Name)
µ •/~_/e - c.~F'Ql1~,
~
~ Address) ~
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~ Swc~rn to and subscri~cd 1f,r~~xc mc thi~ day ot
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ey ~ - - ~ r A_~~. ' _ .
ROGE R POI f RAS - CLE RK C I RCU I T COI; RT ~
~ - ~ - - - - 6t;uK ~~1 f ;~i ' .
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, • .-_BY -----U~?~Uty C~E'_ _
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_ (To trc ~'~rau~rd in duplicala• and u~~~in.d fd.•tl ~vlh l'Ir~A t'~r.ui~ ('~~urt.:~nJ Juplicalr ~v~lh laa A+~c«u~)
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