HomeMy WebLinkAbout2288 LrY'_ '~iC.:. ` ' ~ •:~J~~i! 1...'.i C': i ~ ~t•./L~4 ..'/~~t.,f
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I U Clll•. ~~1:\'1'l: t\\U l'Uli;~ I 1' '1'r~\ ~\~S{.S~(1i:, '
St . ].uc ie
- ---('UUN'C1', i~LUltiij.~:
~'his is my drel:u:~ticsn c>f Uc~mi~~l,• ar~ct ( iti-rensl~:~~ i~~ l1~4 Sl.it~ of l~lurid:~ U~at I ant filin~~ thi. ~lay in
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a<<~~~rcl:~nrc, anil in c~~lifcumitr ~vitl~ S~•cUc~n ?~'_.17, Hlori~l.t Statutrs.
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1 wa~ 1'ormcrl~~ .i 1~•,~al r~~i~1: ~~t of i•_^-~,4 wit~.;/ i~~~c~' and I
~ (('ity) - - ~---~Statr)
r<•;i~lcd ~~t __~~3~--~it'c~?~;v~~f" ~,E'~ ~~t' Uc~-
_ Hawcvcr, t i~ave chan~cd my domicilc to 1
- (Slrcct :utd ~uiuhcr)
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and am and havc brrn bona tictr residt•itit of tlic State c~f l~lorid.~ s~nce~1~~~ day o1~
not~~
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`'~_~`-`-'~J - • ~`~~1~-~__. .~n~t 1 /r~,;c:~ at ~ox 3o'!S~ ;~i~.1~•~- ~oU
~ ~ - - -
~ ~ (Sireel and Number) ~
~ St. Lucie
_ - ~ - - - - - County, I~lorida,
~ ~c;~~~ - - .
and this statement is to bc taken as my diclaratiun of citi-r.enship, actual legal residence and domicile in the State '
of rlorida. '
(lnsrrt here any prrlinrnt fatts, such as wlr of pn~perty or businrss, ur rclinquishment of employment ai tormrr
dumicile, rrruoval ~t family to ncH• dnmirile, purrt~ase o( hun~e, elc.)
Entering children in school:~ Homestead Exemption: ~
~ 2'7248U . ~
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F~LEO aM~~ RECORDEa
ST.LUCIC COt1NT1? FIA. '
ROCER P:.IitRAS
' CtERK C~ ~GJiT COUtiT
R«p;,(, yE;~.~_D~.~ ~
~
Ju~ f~l 10 4a AN'7~1 ~ i
~
. ~ ~
I FURTHER CFRTIFY that t~vill registcr at my local adciress when the registration books reopen, and
comply with all other requirements of a legal resident of this Statc.
I FURT! ER CE;,~ZT1FY that I havc no intention to return to my fornier domicile, and I intend to remain in ;
;
St . Lucie ~
Caunty,
Florida, permanently. (c'tY~ - '
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. ~z2r-~ ~ J .1-r-r-l1E%~ ' .
(Name)
- . .
~ - _ - -
' ; , = ~ ame
. • ~ cf ~ t 2 G1 E,t~ 3 v y- 5~ ~ .s a~ c~~N ~('a i
~w~ ' b a d,subscribcd b~~orc me this day of ~
- • - . i ng a ress
, . . _y~.t~-~-~s~- , A.D. 19~~_. ~f I'i r s'~.~•' .3~ vso ;
ROGCR POITR~IS'; CLERK C RCUIT COURT
- _ ~ . I' - _ . - . _ +C~...[ ~ ~U`t f
-.~Y~
~"~y~ CTerk~-
(Tn h. raecutcd in duplicalr :~ad on~inal (Jrd ilh ('Irrk lircuil C~~urt. and Jupli; atc with "iaa Asscssorl ~
~~ax222 ~~~228~
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