HomeMy WebLinkAbout1596 Decl~ra#ion of Domicite and Citiz~ns~~p
1'O TtIG STATt~ ANU ('OUNTY '1'AX ASSt:SSOK, ~.~19~4
_ St.Lucie_a _COUNTY, f~LORIDA:
TI?is is my d~claration of I)onticilc and Citizcnship in tl~c Statc af Florida that 1 am filin~~ this day in i
accordance, and in conformity with Sertion 3?2.17, Florida Statutes. ~
I was forn~c~iy a Icgal resident of ~1~?.~12~s-~~ - and 1 1
(city) ' (staee) ;
msidcd at ~~_-~Gr~~_.- However, I liave changed my domicile to
(Street and Number)
and am and 1~ave becn a bo~ld fide resident of the State of Florida since ~~n~ 3~h day of
now /,~6 CcJ,~,~t`•~~P.~~ ~~e, ~
19 ~y and I/reside at ~
(Stteet and Number) ~
~f' ~.-~'~t- . _ _ _ . St. LuCie ~ County, Florida,
c~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insert here any pertinent facts, such u sale ot property or businrss, or relinquishment of employment at formet ~ (
domicile, temoval o( family to new domicile, purchase of Aome, etc.) ~ ~
_ ~
Entering children in school;~ - Homestead Exem tion: ~
P
~ ~iia.c.ti J"Y . .
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FrcFO a~Q aF t
• sT LUClE COU~CTr ~
. ROCER Pp~IRAS ~ ,
RECOk~Rx ~r~~Ujr COURT ~ ;
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PM 1,~
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; I FURTIIER CERTIFY tl~at 1 will register ai my local address when the registration books reopen, and
; comply wiih ail other requirements of a legal resident of this State.
! 1 FURTHER CERTIFY that t have no intention to return to my forn~er domicile, and [ intend to remain in y
~o~ _ . St . Lucie unty ~
, , ,
. Floridaa permancntly. ~~'ry) . i
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' ~ R~GE~t~,P':CC)•I AS, CLER ~IRCUIT COURT
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~ ~ ~ - ~y---- :~t ~ ~QUK222 fa~E1595
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(To be ca.•culid in deq.lit ali and nn~:n~ ~I (drd ~~il Irt~. ('iicuil ('ourl. a~tJ J~~pliratr ~~~ih T:tz ASta'.UIN~
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