HomeMy WebLinkAbout1695 ~ ~•1 - ' 'r • i 4 I i ~ e+ ~ ~ ~ ^ ~
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~ c~ "1'IIE: ~T~\~l'G A\f) t'Ut)N-! Y'1'AX ~1tiSE-:SSOi:,
SC.Lucie ____('(~(?,~'fY, 1'!.C)RIUA:
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Ttti, is my c1~rlar:~tio~~ c~f Don~icil~: :~~~~1 ('itiiri~shi+~ in thc Statc of Flarida that 1 ant filing this day in t
~~c,r~ancc, .uid in cc~i~Curmil~• witl~ Srctic~n 22?.17, Floricta Statutcs. ;
1 was formerly a irg.il resi~l~nt of , L"h/^' ~f~ ~ K~" and 1
i lCitY) (slato)
r~.i~icd at ~S~_S..~l~' ~ _ . Howevcr, 1 have changed my domicile to
lStrcr! snd Nwnhcr)
:,~~~i am and tiave hc:en a~~or~a Cdc resideiit of !hr State o1' T'lorida since _ ~ day of
now ~~i r ~`1 eA ~ ~ ~
, 19_,_.~, a~~d 1/~rsidc at 1 f~f S~l~~ti ~
/'~i~ Streel and Numberj :
R f 1; ~„lQCC S~ . Luc ie County, Florida, ,
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and this statement is to bc taken as my dedaration of citii.~nship, actual legai residence and domicile in the State '
~>f l~lorida..
(Insrri here any prrtinent facls, such as sate of prupertY or husinrsc, or rNioquishment ot employment at former ,
Jomici{e, rrmo~al of family !o neN• domicile, purcl~ase uf hume, ete.) .
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Entering children in school:~ Homestead Exemption:
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2'72029
~ LEO ANO RECOROEO ;
S~.lUC1E COUNTY FIA. .
ROCER P~fITRAS
CLERK C~'2CUIT COl1RT
RECONtf VER'FIED
8 i Za PM'1~ `
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I FURTNER CERTIFY that 1 witt rcgistcr at my local address when the registration books reopen, and
comply with all other requiremenis of a legal resident of this Staie.
I FURTHER CERTIFY that 1 have no intention to return tv my former domicile, and I intend to remain in
- f ~ St . Lucie Count
~olC ~iEk'rC
, Y.
I~ lorida, pcrmanently. (c~~r)
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Swoln<tc~:afid•subs~nbcd before me this day of ~ ing a ress
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A. o. ~ j~ x~A~r~is A~% f-~~~
R~-~
, ROG~R PO RAS, CLEBK CIRCUIT COURT ~
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- ~beputy~Ierk -
(To be executed in Juplicale and ~~ri~in.d (iled with (9rrA Citcuit G~urt, and duplicale with 'ta~ Asseswr)
BO~K~~ *;l6~'~U~~ ~
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