HomeMy WebLinkAbout1580 2'71940 , t~
Decfaration ofi DomicEte and Citiz~~i~h~p
1'O "ftll: STATE AN1) CUUN7'Y 'I"AX ASSI;SSOK,
St.Lucie
COUN1'Y, F~LURIUA:
Ttiix~is my dccla~alion of llomicilc and Citi-r.enship in thc Statc of [~lorida th:~t l am t'iling this day in
r ~
accorJancc, and in conformity with Scction 22?.17, Fiorida Statutrs.
I was formerly a legal r~:sident of E~~~ ~ , GAL-l FD /e l1~ / l~ and 1
(c~~y) (sa~e)
resided at S V ~ i~-<- S~~ • . However, I have changed my domicile to
' tteet and Numbe~)
and am and have been a bona fidc resicicnt of the State of Florida since ~ day of
now
FFa1evA~.~-. , 19 73 , and 1/~cside ata~~OZ ~~~R ~-D~ S~, '
(Street and iVumber)
~ j' y~ ~ Ve, ~ L St . Luc ie County, Florida,
.
(c~~r)
and this statement is to be taken as my declaration of citizensliip, actuai legai residence and domicile in the State
of Florida.
(Insert here any perlinent facts, such as sale, o! property or busincss, or relinquishment of employmcnt ~t tormer
domicile, remoral ot family to new domiciie, purchase of home, etc.) ,
Entering children in school:~ Homestead Exem tion; ~
P
~~~.e~.~~ -
(F~~KEO UtR ltFCORpEQ
,7~.LtICIE 4Oi1lITY
R06c'i: -
pt TRAS
• CIERx Cs't~UlT COURT ~
, RECOR~ YEK'!FfE~~+
t f I 3s AN '7~1 ~
2'~1940
; _ .
;
I FURTHER CERTIFY d~at I ~vill rcgistcr at my local address whcn the registration books rcopcn, and
` ' comply with ail other requiremenis of a legal resident of this State.
; 1 FURTHER CERTIPY that 1 have no intcntion to return to my fornier domicile, and I intend to remain in
; pb ~ ~ s~ ~ UG ~ ~ ~ St , Lucie , CoUnty,
` . I~iorida, pcrmanentiy. - ~ C ~ v NuS~ ~
~
~
~
(Name)
. L
P ~ CO~~~' . 1 • `i!IL~~~ _
~ J::,ti G~ , n (Addcais) -
i ~'3 ' . i ; ~'%t~• 'J? ic~- . ~p~ L!'/~ Ir~ ~
'r~ ~Swoii~ti/ ai~d~~~ibr~1 befor~ m~ this day of ~'1~~~ ~~~c~ .~I G
~ .
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„ . m~
~ - ~.n. _7_4_.
• ~ t]L ~ f i 1
- : R.OG~,' TRAS, CI RK CIRCUIT COURT
- - -
: . ~ R ~~E1579
f . . . eo~2~2
BY - - L - ~ii ,
~ Uf~ u .y ~ e rT
~
(To he csecutcd i JupGcatr anJ ur~~tin.~l f~ .J ~~~tl~ t'Irr1. ('ircuit l"~~url. anJ duplicate wilh Tax Assecuu)
.
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