HomeMy WebLinkAbout1561 Declaration of Don~~~ile ~nd C~ti~t::a~s~
TO TIIE STAT[: ANU COUNTY TAX ASSI~SSOR, 2,~1925 _
St.Lucie COUNTY, FLORlt~A:
'[l~is is my dccl.ir~lion of llanticilc a~~d Citi~cn~hip in thc Statc of Florida ihat 1 an~ filin~ this clay in
accordance, anJ in cont'onnity with Section ~?2.17, Florida StaU~tes.
a'
i was formerly a legal resident of _~~~~e'7l~C.tl~~~~ , ~ and 1
(Cit ~ (Stste)
nsidcd at . However, 1 have changcd my domicile to
(SUeet and N ber) _
and am and have been a bona fide resident of the State of Florida since day of
now ~~r
- , 19__~y and 1 /~reside at ~
J , (Stteet and Numbcr)
~ , St . Lucie County, Florida,
(cur)
and is statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inse~t here snp perlinent tscis, such as sale of pruperty or business, o~ relinquishment of employment at former
domicJe. removsl ot family to new domicile, purcluse of home, rtc.) ,
Entering children in school:~ Homestead E emption: ~
! ,~~i~~~ ~ ' ~%'/~-~a~
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F~~ ~ ~
st. Rt~~
or~nus~' t
- ~ aEaK.c~=~cu~T coatt
. RECORD YERlF1ED
.~tl ~ 9 1C ~I'?~
2'71925 ~ -
~
; ,
~ I FURTHER CERTIFY ti~at 1 wilt register ai my loc:a! aclrlress when the registration books reopen, and
compty with aii other requirements of a le~al resident of Ihis State.
[
~ I FURTNER T1FY that I have no intention to return to my forn~er domicile, and I intend to remain in
~ f St. Lucie
~ ' , , Coutlt~~,
~ , Florida, permancntiy.
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.~..~r~.,~~ . (Name) ~ rn l°L~ e Ii~}
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~ ••..~CQ 1
v ,•~SVU I! ti - - -
~ . f~.~ . A~ + (Address)
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~vlraiti to aydaul+lac~5ibcd brforc me this day of
i : ;.S
± ~ ` . ~ A. t). i 9_ 7_4 _
= . - -
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2 ~~/j~~~,~ TRAS, C K CIRCUIT COURT
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~t~ puty ~;l e rl:
(To hc c~.•cuicJ i p1i~:~1:r and ~~ri; in..l f~IcJ ~ l IrrA 1'ir~ uii Cu~irl. a?ut Jupli:atr „~Ili T:~x Asti; ~~.or)
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