HomeMy WebLinkAbout1198 . (
D~cl~r~~i~r~ of ;:'~r~;~~~~~ ~:a~~~ ~'~tiz~ s~sh~~a
~
"('U Ttl~ STATG ANU COUNTY TA~C AS~:SSOlt, 2~16,~~
St.Lucie '
_ _ COUNTY, t•'1.ORIUA:
This is my dcclar~tion of Domicil~ and Citizenship ii~ thc St,ite ot' Ftorida that 1 am Filing ihis day in
accordanee, and in conformity with Sectian 2~?l. ! 7, Floricla St:~hrtes,
I was fonncrly a lcgal residcnt of -~Q~~.S;~~_ and I
, I (City) (Sta
resided at 19~ 19~~ ~~eh~[~fi ~ u . However, I have changed my domicile to ~
(Street anJ Numbrr
and am and have been a bona fde resid~nt of ihc State of Florida since day of !
now ~
, l9_~ aiid I/~cside at ~ L~~ ~~.t~jo.~hc v.~ `
;
(Sircet and Number) '
/~p h~ P/ ~ h~+~ p ; St . Lucie County, Florida,
(c~cr)
and this statement is to be taken as my declaration of citizenship, act~~allegal residence ~nd domicile in the State
of Fiorida.
(lnxr! hete any pertinent facts, such as sale af property or busirtess, or ~elinquishme~t of emploYment st fwmet
domicQe, removal ot family to new domicile, purchase of home~ ete.)
Entering children in school:~ Homestead Exemption:
.i
~ FI~ED AMa RECORpEO ~
~T. ~UCIE COUNTr f~~. S
ROCER POItRAS L~ '
c~ERx c~~cu~t ca~~t
RECORD YER~FIEO
- - - ~ 1 2 3o PM'T~I
2'716`7`~
.
I FURTHER CERTIFY that 1~vill register at my local address when the registration books reopen, and
comply with aU other requirements of a]cgal resident of this State.
I FURTH~R CERTIFY that I have no intention to return to my former domicilc, and I intend to remain in
~c~'7~';
~..,;;1~ e. h~ St . Lucie ~
Flori~~1,'~T-~~~y, ~c~ry> > , County, :
S
_ ~ ~ ~,~y{ . ' ~ .
: • ~~y"'~ _ i
~iru~;~ , ;ic~' 4-: r
`.2`:: ~
.7 ~ .
~ •a ~ . • / ~ • " ~ •
. ~ r- `i~ ~ • . .
V• ~ ~ ~T~~r
e~,-+= + (Yame)
:i ~ • ~
s ~=g
~ ~,~;x' ~ ~
~ • 4~~ ; ~ ~ c~d ~ ~
';f ( ~dJress)
~ C ~ ~ , .
Sworn to'aii8'subscribcd b~fore me this day of ~
- - A.~. !~)_7~__
ROGER P TRAS, CI.~ CIRC'JIT COURT ~
-----1-,-- -
. - ~ scoK 222 P~~~i~.~8
p
t~ i~
(T~~ be e~eculyd in Joplirrt.• .~uJ ~~ri~u~ ~I fil~ ~vith ('Irrk t'itcuit ('n~rrf. anJ Jup,Kale wiN~ "fax Assr.tsur)
. ~
- _ • • - ~
~ ~ ~ ~ ~
.~~''~~-~~-`4~ ~ . . _ ~ ~r::. . . - Y
z,_ ~r~.~^