HomeMy WebLinkAbout1237 .
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I~(~ "I tiE S"I~AT't: AvU C'OUN'fY 1'AX ASSI~SSUR, ~~?~O$
- `_`SC .Lucie^_' CUUN7'Y, FLORII)A: • :
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Tl~is is my dcclaration of Uomiciic .~nd Citi~rnship in ihc Statc of Florida that I am filing this day in ;
a~COfcIJl1CC, and in conformity witlt Section .222.17, Florida Statutes.
1~vas t'am~crly a lcgut resident of <f~GH~.A IYO ~'~9 R~T ,/LLrnrr~,~._ and I
(Citr) (Statej .
rrsided at / N1•~ it~v q~ A ~(~Nv ,e . However, I have changed my domicile to
(Strr~el and Num~er)
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and am and have bcen a bona fide resident of the State of Florida since N/ NT H day ot' ~
now ' ~ ~
U L , 19~~, and I/Ecside at 7 9 S.?N. / ViJ n~ ND F ~o v R T~ s
(Strret snd Number) !
P o R~ s r L t~ c i~ St . Lucie - County, Florida,
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_ (acr) .
:?nd ihis statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State ~ '
ot' rlorida. `
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(lnseri here any ptrtinent facts, such as sale of prope~ty or business, or relinquishment of employment ~t furmer ~
domicJe. remoral of family to new domicile. purchase ot home. etc.) t.
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Entering children in school:~ Homestead Exemption: ~
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f LED AMD RECOR E~ ' " ~
s~ LUCIE CQUNTY
RQCfR P011'RAS ~ ~
CLERK C14CUIT COURT
RECOR~ V~~jF1ED ~
J~N 1 4 Z7 Pi!'1~1
2'?'1'708
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1 FURTHER CERTIFY that I will register at my loc:al address when the rcgistration books reopen, and ;
con~~ly with aU other requirements of a legal resident of this State. ~
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I FURTHER CERTIFY that I have no intention to return to my fonner domicile, and I intend to remain in ~
T T Lli~ /E St. Lucie ~
D /t S _ Couniy,
I~lorida, permanendy. ~C''Y~ ~ ~ y~A~.TE R M- Qc<.c b~o eR)
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~c~+ 9 ~ r ° ~,S W • I VANlfot- ~T. In.er ST• LtiG/IE _
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~.I ~'.•.~i1 r;i . (Address) !
~~cem~~~ .an$~sc~{~l,'bid ,bcfom me this da of '
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~f.~~'• , A.D. 19-7~.
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,E,R~ ~ 'RAS, CLF.R CIt~CUIT COURT
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(Tu bc rarrulcd in Jvi•ti.ale anJ .~riginal fil. ailh ('icrk ('ireuit Court. anit Joplica~c Nith Tai A~~ri.c~i) , ;
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