HomeMy WebLinkAbout1303 ~ D~ciar~~~on of t~omic~ie a~d C~~izet~~~hip
•ro ~~ii~: s-rn•r~ nnu c'OUn1'Y 7'AX ASSt:SSOlt, =
St.Lucie
--~~CUUN'1'Y, (~LORiI)A:
Tt~is is tny clrclaration of Domicilc and Citixcnshi~~ in thc St~tc of T~lorida that t am (iling thi~ day in
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a
accordance, and in conformity with Scctiou '_'''2.17, I~lorida Statutcs. ;
1 was fornierly a Irgal resident of ---G~~~!~-t!"'7~~1~ ,1~~ and t ~
(c;ry~ (s~.~~) {
Aid oR Mo,B~ t~ ~ LCA ~dx ~a6 '
resided at L'~~__ ~-e 18' . However, 1 have changed my domicile to
(Strert snd NumMer)
and am and havc becn a bo~~a ficic residcnt . of the State of Florida since day of
now p RAN 4 E f
_ , 19._ ~ and 1 /residc at ;
(Strcet md Numbrr) •
~R~ ~~~~C~ St. Lucie '
County, Florida,
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(citr) ~
and this statement is to be taken as my declaration of citizensf~ip, actua! legal residence and domicile in the State ~
i
oi' Florida. - ' ~
(Inseri here any pertinant facts, such as sa(e of propetly or business, or celinquishmrnt of employment at former
domicile, removal ot (amily to nc~v domicile, purchase of hume, etc.)
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Entering children in school:~ Nomestead Exemption: ~ '
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g I FURTHER CERTIFY that 1~t~i)1 register at my local address when ti~e registration books reopen, and ;
~ compty with all vthcr requirelzicnts of a l:~gd! residcnt of this State.
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` 1 FURTl~ER CI:RTIFY that I havc no intcntion to rcturn to my fornicr domiciic, and I intcnd to remain in
` ~L- ~ St. Lucie ~
` ..c -G ~u' , County,
~ . Fiorida,.p~rmanently.
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-.~S~vo clt~rt~,icribr~l U,fc~r~ mc tl~i; clay of ;
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• ROGr R POIT ~:~S, C1.ERK CI RCU IT COURT
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_ (l~n bc ~•xecutrJ in .lup{i.at: :.u.t „ri;:u~,~E 'i1, J~~ith t l~~it C~rcuit ('~~urt. anJ Jup!rratc Nith 7aa A+x~tisrn)
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