HomeMy WebLinkAbout1771 ~ ~
L~~c~~;~ati~~~-~ a~ t~or~~~~il~ and ~it~~`r~~: f:p
, u~cti~: s-rn~r~: ANU ('UUNTY TAX ASSI~.SSOR, 2~20~9
.
St.Lucie , ~ CUUN'i'Y, ~LOltti)A:
'fl:iti is my dcclar,~tion of Uc~miciic a~~d Citixcinhi~~ in thr St.itc vf Florida that i an~ filin~ this day in
.icrord.~t~cc, an~1 i~~ conformity with Section '22.17, l=lorida Stat~~irs.
, 1
1 was formcrly a Icgal residcnt of \ s~~,~''~ ^ f= , L;I 1 and 1
~ (Citr) ~ (state)
r. sid~~d ~~t _~f~~~vr• t-, i.t~ ~;,n~__~, _ . Now~>>~r, ! havc cha~~ged my domicile to
- (5freet and ?Vumbet)
and am and have txen a bona fidc resident of the State of Florida since ~ ' day of
now~
, 19~-y and 1/residc at .T 4~ ~ S`"Z~A.I~.m~-(AL'`~-'
~ (St~eet a Number)
1~~.~~~~r- . ' . St . Lucie ~ County, Florida,
(G~y) f
and this statement is to be taken as n~y declaration of citizenship, actual legal residence and domicile i~i ihe State ~
uf Florida. .
(Insert Aere any prrtineM facts, such u sair of propetty or businru, or reliaquishment of employment at tormet
domicile, removal of family to oew domicile, purchase of home, ate.)
i
Entering ch~ldren in school:~ Homestead Exemption: ~
~
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= 4f0
F~ 4~~~# ~ ~ S= iu ,;:Y',~ rtA ~
~7~~R P~?tt~ ~ . ~ _~«r
~~~~K C~~~im L~ ~ ~
Rf tl1~C YEti:/If~,.,.~.,....~
~ + ~ ! j uv a ~ 1
~4
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2'720'79 ~
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I FURTtiER CERTIFY that t wil! rcgister at my local address when the regisiration books reopen, and `
~ comply with all other rcquirements of a legal residcnt of this State. =
~
~
~ I FURTHER CERTIFY that 1 have no intention to return to my fornier domicile, and I intend to remain in '
a c
~
? 'ls--?~ .1t'.~f.,-~.~,~~~. - St. Lucie , County, !
E Florida, permanently. ~/~o6er-r F CD (Lc o R R N)
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G~` - ~ -T~TBme ) _
° ~;~:..-s~t, ~l S G-~1
` ,~mvrt~'`to anc~sii~s~~d before me this day of y '~'~'~"~`'y`~'" ~
_ : ~ sr- . i~,._ i nl3~g a~c ress °
9 .t' . a . 1 ~ . f
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¢ . 1 v
. A.D. 19_L4_. ~~f~- S~ ~Z 1 .,~t~ 5 ~ ~f ~
: _
" ~ ~ ~~t;~ ~8'~ •fiRAS, C BK CIRCUIT COURT
~ . ~ . .
J.,
~ _ ~x -
- - lleputy C er
(To be executed 'n uplicate and uri;.ioal fd i~+ilh ('Irtk Circuit Courl, and Juplicate «ith Tax Asuccot)
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° p~222 ~~~E~7?~ ~ ~
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