HomeMy WebLinkAbout2334 Qeci~a~ati~~ o~ ~or~~:~it : ~nc~ ~Ei~:~. ~r~~~
2'7~5~3.
l u~c~ i~: s~r,~-~~i_ nn?u cUUn'TY ~~n~c nssE:ss~K,
St.Lucie
COUN7~Y. FLU1t1DA:
71~is is my dcclar,ition of Don~icilc ,md Citircnshi~i in thr Statc of l~lorida that I am._:fili~~~; this day ii~
:~rcordai~cc, and in confc~r~»ity with Scrtion ~2?.17, Florid~~ Statutes. ~
1 was farn~iy a legal residcnt af 'CQ~Y3~_ (Z ~ 'L_____~ an~l 1
,
(CUY) (Slate)
r~sidcd at ~-Y ` . Howcvcr, 1 havc changed my domicilc to
(Strcet and Numbrr)
,~nd am anc! havc brcn a bon.~ fide residrnt oi' tlie State ~f T'lorida since day of
now ~ ~
~u ~ Sd,Y~ , 19~ and I /reside at _ ~1 'Cl~~"~._ L,~ - .~C~ , `
. ~ ~ (Stteet and iJumDe~)
St. Lucie County, Ftorida,
- ~c~~y~ ~ -
.~nd this statement is to be takcn as my declaration of citizenship, actual tcgal residence and domicile in the State
of Florida. ~
R
~
(Inseri here any r+erlinrnl facts, sucA as sale ot property or business, ot relinquishment of employment at tormet
domicile. temo~~al of family to nr~v don?icile, purchate o[ home, rtc.)
~
Entering chi~.dren in school: ~ Homestead Exemption: L-_1 ~
2'7~513 -
~
lE~ ~4MC RECQA~[0
tUCIE ~,OUNTr t~.
ROC~n ~ntTRAS _ .
CLERK C;=,CUiT COURT
RE CO R J Y_ F ~ F~~ D.~.,.,.,,,,~„~
Ju~ I~I 2 ii PM'7~1 .
- '
x_
. ~
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,
~
1 FURTHER CERTIFY that 1 wil! rcgister at my local address wh~n the ngistratiop books reopen, and
comply wiilt all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retur~~ to my fornier domicile, and 1 intend to re~nain in
~ St . Lucie r
, Cottnty, `
Florida, permanently. ~~'"'1 ~f
. .
~ - ~ 1_.~~~C nl ~ ea~E~ ~ c~C.~ -
~ ~ (Namt)
~ ~ ~ r ~ a'~~ .
, _ _ ~ , ~ . - ~ i
~ ame -
~ • ; ~ _ r ~ ,
$w¢rn'to'' ; ~ s~i liscribed be`ore me this ~ ~ _ day ot ~ l ~~E'C~-~'I
~ . i ng a ress
~ .
az .
A. D. 19 _7_4_. CrE'_ C~.- .
R R POITRAS, CLERK C RCUIT COURT
. . ~ , G~,:_-l.c~~ ~ -C~~-~__._
--BY---- ~
lleputy Clerk =
(To be exrcuteJ in du~~lic.~lr aud ~~riF~ii~al filed ..flh ('Ierk ('ircnit C~wrl. anJ Jupli:ate taifh 'faz Asce~cor)
~222 ~~2~334 -
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