HomeMy WebLinkAbout1655 Declaration of Domici~e and Gitizensh~p
TO T1U: STATI: Ai~D COUNTY "1'.AX ASSL.SSUK, 2'~1998 -
St .Lucie GUUNTY, FLORIDA:
Tl~is is my d~claration of
Uomicilc and Citizcnship in thc Statc of Florida that 1 am Cling this day in ;
accordancc, and in conformity with Scction 222.17, Florida Statutcs.
. . .
1 was formcrly a Icgal residcnt of
~iuD' ~~Y-a.~c~t- ,~l~s`a~a~ ~ and 1
n;sided at Y GY ~'~?u~.c~ W-rie . However~ 1 have changed my domicile to
(Sireet and Kumber)
and am and have beei~ a bona fide resident of' the State of Florida since ~1 L~''9 day of ~
now .
_ , 19__._., and I /~eside at _ °~3°`L~ ~~G '
(Strset snd umber)
~ , ; . St. Lucie County, Florida,
(c~~Y)
and this statement is to be taken as my declaration of citiTenship, actual legal residence and domicile in the State
of Florida.
(Insert here any pertinent tacts, such u sale of propettY a business, ot relioquithment of emplo7rment at forma
domicile. remoral of family to new domicile, purchase of home, etc.) ,
Entering children in school:~ Nomestead Exemption:
~~~I ~y~~ fio ~ ,D~ ~9?3
F!!ED AND RECORDEp
tT.ll3CIE COUNTY FIA.
ROCf R ~01TRAS ~
' CLE~iK CIRCUIT COtiRT
RECOR~ YEAI~IEO
,~n 1 4 i3 PN'~~I
~
~ 2'71998
~ ~
~
; -
4 I I'URTHER CERTIFY that 1 wi1! register at my local adclress when the registration books reopen, and
E compty with aii other requireme~~ts of a lega! resident of this State.
~ 1 FURTHER CERTIFY th:?t I have no intention to return to my forn~rr domicite, and I intend to remain in
,
~ St. Lucie , County,
6 FloriJa, pcrmanei~tly.
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t - ~~i/t~Q ~ ~ '~L /i/L~C?/YL~Li
• " - _ (Name)
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Sc~~F~~#(r~Tidxti~~~ befum mc this _ ~lay at ~C E_ r v, t't 7/~oNiv ~ d^~ ~
f r,.~. - A.i). 1~1__74_. r,yf r/~
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os cph 7Jh° u
_ ~'-..~~1f~,R,.$ S, CLE CIRCUIT COURT
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(To hr cx~culyd in dnplicalc and ung~u i{ (dcd wilh ('Irri: ('ircuit C~~rut. and Ju~.lr.•alr will~ 7'a~ ASSrts.~r1
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