HomeMy WebLinkAbout1063 • :i
Qec~~ra~'s~n ~f D~rnic~~~~ a€ C~ ~i~e~~~i
~s9 .
TO THF: STA"1'l: AA'U C'OUN"I~Y "!'AX ASSI:SSO}t,
St.Lucie
COUNTY, I~LORII)A:
'Tliis is my dccl;~ration of Uomicilr and Citii~n.hip in the St:Uc of F'lorida tl?at I am tilin~ this day in
accordancr, and in conCormity with Scctic~n 2?2.17, i~lori~ta Statut~~s.
i was fonncrly a Icgal resicf~ nt of LI~~. w'~ A 1~~~L C O llr ly_ ;~~~d ~
(City) (State)
residcd at C~1 ~ t~-S _~_lc~~~__ . Howcvcr, I havc changed my domicilc to
(Sl~eet anJ NumMr)
and am and have bren a bona iide rrsidrnl of tlic St:tte of I~lorida since day of~
now
~--G ~ - , 19~_1__, and 1 /~csidc at -.---~D 5_ Z_ / ~ % •
(Streel and Numtur)
~o ~E' T ~ ~t~C ~ St . Lucie County, Florida,
(c;~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inutl here a~y pettinent facts, such as sale ot pruperty or businrss, ot telinyuishment of employmenl at formet
domicile, remo~al of familY to new dumicile, purchasr ut homr, rle.)
Entering children in schoo-1:~ . Homestead Exemption: C~I
2b~47`~ ~
+°a1~'~~`
~oc R ra,~
ott~~ ~ ~t
RECORp y
~ pi~: oovAt
: ~av ?9 t1 ~
. PM ~3~-
~
~
I FURTHER CERTIFY that 1 will registrr at my local address when tlie registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 ha~•e no intention to return to my fornier domicile, and I intend to remain in
~,c.e2~~ _ _ St. Lucie County,
~ Florida, pernfancntty. <<"'j ~
_ , , ~ ` ~ i~j P/~,-~-~ ~i'~ ~C~-
.s , (Nam J ' ,jkpt~,Q
. _ f ' - - -
' ~ ~ ~ ~ (Address)
. ' ~ ; /
I'-Sv~rdtp"b and sctbsc~ibcd bcfor~ me thi~ day of
~
C
~l`•7~-t'.yiC-t~C~----- •
n. n. ~ ~ _ 7_3 _
ROGER POITR/~S, CLERK CIRCUZT COURT
- - -
. ' . ~~-c -/~c-~i C~c"L~ct~
-nx - -
Deputy Clerk ~
(To be careuteJ in Ju~,lit;ilr ~rr~l ~.riFVn.~! lelc~! i~ith l'l~~t1 l'ereu~I ('~~~~rl. .md du~+li~.ilr ~~•i~h 7a+ il~~eetof)
BU~~2.~1?:1~E1U~;~3