HomeMy WebLinkAbout1746 De~~~ra~E~n af Domic~t~ and Cit~Ze~
u~ri n, s~rr: ri, ntv~~ c'OUN7'Y ~rnx nssissoK; 2~245'y
St.Lucie
_ - w___._ couN•rY, r~oK~~A:
Tl~is is ~t~y derlar;~tion af Damicilc and Citizcuship in tl~c Statc of Florida that I am filint; this day i~~
:~rcur~lancc, and in confonnity with Scction 222,17, Ftorida Statutcs. -
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1 was fonncrly a lcgal residcrnt of , 1~__ _ an~l I
i (c~~y) ~sare)
residrd at ~~~7 ~ . However, 1 have chan~ed my ctamicite to
(Slreet and Number)
a~~d am and havc becn a bona tide residettt of the State of Florida since Qli~~ day ot'
• TlOW i
, _ _ , 19~t~, and 1 /Eesidc at ~Z-~ o _ _ '
~ G ( i~n~ ~na ~mb~~~ ~
_s,{~Q~~~_ St. Lucie ' County, Florida, ,
(city) ' ;
a~~ct tliis statcment is to be taken as my declaration ot citizenship, actual tegai residence and domicile in the State
of Florida. c
(Inse~1 here any {+erlinent facts, such as sale of property or ~eesiness, or relinquishment ot employment st former
domicile, removal of family to new domicile, purchase of home, etc.)
Entering children in school: ~ Nomestead Exem tion: ~ `
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' F lE0 AND RECORDED 'n
S~_ LIJCIE C01lMTY fLA. V'
' . ROCER POITRAS
CLERK C:iiCU1T COURT ~
- RECOttD Yfk:F~Ep
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I FURTHER CERTII=Y that 1 will register at my local address when the registration books reopen, and
comply with all other requirements of a)egal resident of this State.
I FURTI~ER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in ~
~ ~y l
,,,«~Q, St. Lucie County, '
Florida, permanently. tc~ty~ ' ' ~
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w~ R y ~ h r~ }
(t~.me) ~
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, .,~~:L~{t`--,;':
. ..~'.~.,j 'ame .
~Swi~i~`to and.s~t~i."s~cf`t~d before me this day of
n,~ g a re s s
~ r~ t,~
y A.D. 19~2.4-. d
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"~~i,.~
; , S, CLE CIRCUIT COURT
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(To b~ e~rculed uplicalr rnd •~riRinal fi1rJ wit C rk Circui! Courf, and Juplicate with Taa Asaeswr) ~
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eQox 222 P~~f~fi45 , , ,
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