HomeMy WebLinkAbout0507 Q~~~t~r~~~~i~~~ of ~~o~E~~~~ ~~~d ~iEiz~.•~~shc~~ ~
~l c~ 1~~i~~ s'CATt: AND COUN'I'Y TAX ASSl.sso~i, 2~~24
St.Lucie
_ CUUN"1'Y, ~LORIUA:
71~is is my dcclaration af Domicilc and Citir.enship in thc Statc of Flo~id:t that 1 am .filing this day in , i
.~ccorda~m~, and in conformity with S~ction 222.17, Florida Statutcs. • , ~
I was formcrly a Icgal nsidcnt of ~01- , ~`u~ • and 1
-~c (~~r) ststc) ~
rrsided at l~ rlr~ ~w~' ~~e~/ . Howevcr, I have changcd my domicile to
~ and Numbe~) .
and am and havc been a bona fidc resici~nt of the State of Florida since day of
~ L~_ ~ now ~ 2~, ~~~iQ v~I H q -~~-P
~Z~'~~ , 19~ and I /Feside at
~ (Strcet ind Number) ~
~ w]~ ~c,aZc.~ , St. Lucie County, Florida, ~
(~~r)
and this statement is to be taken as nty declaration of citizenship, aciual legal residence and domicile in the State ~
of Florida.
(Insert here a~y prrtineot facts, surh as sale of property or busincu, ot relinquishme~t of employment st former
domic~le, remoral of familY to ~?ew domicile. purchase oi homc, etc.) `
~'~a( ~vY /~7?- - . ?
~~~,G,-~~,.2 ~l a.~-~ ~ 9 ~ 3 .
~cc~ c~~ 0~7`. /973 ~ ~
Entering children in school:~ _tiu- Homestead Exemption:.L~l .i
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F~lEO AYQ RECOROEO U' ~
, . ST. LUCIE COUMTY FLA, ~ ~
~ ' . ~ ~~E KCC RCUIT COURT ~
. ~ RECORD VERIftEO....~~ -
~ ~ ~ 0~ 16 10 4o.AH'73
. . . 2'7122g
. . . f
.
. _ ,
I FURTHCR CERTIFY that I~vitl register at my local address when the registrat~on books reopen, and -
comply with all otlier requirements of a tegal resident of this Siate.
,
I FURTHER C II=Y that I I~ave no intention to return to my former domicile, and I intend to remain in
~ St . Lucie Count ` ~
' ~ Y.
Florida, permanenti~~. (c~~r) ~ ~ -s- ~ ~
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, t- 2'n+ h o F ~
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~e~•;
' ;Jti'.•;'j,~.:' `,f .~iy ~ • (Aaaress) .
.r'. .py:.~ ~y_:
fe '~,t"i'. ~.~~'S'!~ ~
:'S~vn}~ to .iq~ssu~n~bgd-.b~•far.. me ihis s~~ day ot
; y_ _ i~ ~ A.D. 1 ~ 73 -
. ~
~R~pEL~:::~UZ'~,jt7~S, CLERK CIRCUIT. COURT ~ ' ` ~
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_ _ - . _ . ~ . - 3C~K,G~~ PAtlf ~O7 ~
- . _ ]3y _ . .
. . 'bt~~ut C .e . .
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( tu Le rzriuicd in Juj~li~ an~) uririn.~l t. 1~tiilh l'Ir~F. Circuil Cu~ul. and Juplii~le wilh Taz Ac[csu,r) i
. . _ ..::-.`y - ~ . . . .
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