HomeMy WebLinkAbout1496 ~ 2~1888
, Dect~ratian Do~iciE~ an~ Ci~i~~n~~~~p
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'l'U 1'llG STA'Tl: ANU C'UUNTY 'I~AX ASSI:SSOR,
St.Lucie
- _____~-----_COUN'1'Y, ~LORlDA: ~
"tl~is is my dccl:ir:~tion of Domicil~ and Citizcnship in the Statc of Florida lhai I am tiling this ciay in
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accor~ance, and in conformity with Section 22?.17, l~lorida Statutrs.
1 was formcrly a Irgal resident of ~~FS A~~ , M' c H'~ N"~ and 1
(CitY1 (State)
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residcd at 3P0 c A ~2 t- 5 p rJ . . Howevcr, 1 have changed my domiciic to
(Street snd NumDc~)
and am and have becn a bona fide residcnt of ihe State of Florida since q~ day of ~
t
now ?
.t7EGEM 8~ 2- , 19 73 , and I/~esidc at ~~2 S• W• L ucE2 v D2~~r _ ;
(Street and I+lumber) ~
PoR ~ ~f: L.u~ , St. Lucie County, Florida, ~
(Citr) i
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
((nseri here any pertinant facts, such as sale of property or busincss, or rolinquishment of employment at former ,
domicUe. temoval ot family to new domicile, purchase of home, rte.) ~ j
~oQ,~t 2 EMPLCy~2 - r-~~~ ~o ~m. . ~cAR~o~.~ . ~N. :
Entering children in school:~ Homestead Exemption: L-1
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filf0 AND RECORDEO
ST. LUCIE CQUNTIf ftA.
ROGc~ POii'RAS
CLEQK L;'CUIT COURt
RECORC Vf~'~+E~.~._.~~.. e
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` 1 FURTHER CERTIFY that I wil! register at my local address when the rc~istration books reopen, and -
comply with al) other rcquireme~~ts of a le~al resident of this State.
~ I FURTHER CERTIFY that i havc no intention to rcturn to my former domicile, and I intcnd to rcmain irt
P~R, ~ ~j: ~ 11L ir $t . LuC'le , County,
Flor;~,a,.~er~,anently. (c'rr~
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~ ~ ~ (Name) -
_ J" , s. r,J. ,t vc E eo aa Y
r~. c,r
~ ~ j~ . ~ ----~i (Address)
r~l`• 'v 1 .
-~Sivcyt,
p~~~t,b'~y1il~Afncribcd bcfor~ mr this day of
"t'
- ~ - n. n. i 74
ROGER POI AS, CLERY. CIRCUIT COURT
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_ ~y_~- - 1~~: iit Clerl~: _ '
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(To ba rcrculcd in du~di: ~~c •rnd ~m~ iu.~l fdrJ ~s~Ih ('Icr~, t'n.uit G~urt. ru~! Juplicrtr u~th Ta~ A.•cssor)
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