HomeMy WebLinkAbout0565 ~¦r~) ~i : ~ x- . P,:~•. ~ ~i,
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-ro ~~i~~ s~rn~re anu c~uu~ i~~ ~rnx .~tisi:s~uit. 2'73358
S t L'uc ie - ,
_ ~ _ ('t)UN1~1', 1=1_(lltll~~~: ~
'iliis is niy clrclaration ol 1)omicil; and ('itircntihi~~ in thc Stat~ of l~lorida thal I ant filin~; this clay in
.
accorclana:, and in cc~nl~ormity with Sccti~~i~ 2~~.17. 1=loricla StaUitr~. ~ . '
I was forn~rrly a Irbal resiclritt ~f _ ~.o~v~~U.~~Q 5~ - , _W ~ S ~ - a~td 1
(Cil.•) (state)
nsiacd at -_~.lti-_- ~=._~~U. . Howcvcr, 1 havc changrd my domicilc to
($trecl anJ I~u~nMcr)
and am and have bcc~~ a bc~na fiJr msidcnt af the State uf rlorida since day of
now
~ev2.N.~~n , 19~'~, ancl 1 /i-csid~ at _ ~ ~S,!4~mL~---- -
~,4,p- - ~n'' ~
(Slrcet and Numher) ~
- - . S ~ . Luc ie - County, Flarida, t
(ci~Y) ~
t
and this statement is to be takrn as my declaration of citi-r.enship, actual legal residence and domicile in tlie St;~te
of F'lorida. ~
(Insert here any perlincnt facts, c~ch as sale of pmperty or bosiness, or relinquishment of emploYment at former ~
domitile, rrmnral of tamily to ne~v domicile, purchase of hume, rle.)
3
~
Entering children in school;~ 1~omestead Exemption: ~
2'73358 ~
FILEO ~~1~ ~=C~RQEQ
ST.IUC~E CUUNTY flA, •
. RoG: = = ~i'R~S ~
CIEr.K C: Cu~T COURT ~
REr~~" yE: ;E~,..~....,,~,
Jar~ 18 10 i9 AN'1~1
~ ~
~
1 FURTHI:R CI;RTII~Y that I~vilf rr~i~trr at my local addmss whcn thc rrgistration books rcopcn, and
comply with all othcr rcc~uircmcnts of a Ic,~al rctiiclcnt of this Statc.
I FURTIIER C'LKT1~=Y th~t 1 ha~~c nt~ intcntion ta mturn to my fonnet domicilc, and 1 intcnd to rcmain in
St . Lucie ~o~,,,ty,
- - • -
florida, pcrmancnUy. ~`~''Yf
. ~
. . ~
, ~ y; , .
.1 ' . .
. ~ , Signature (husUaiui)
" 'i ~ p - _ `
. . . ? ~.JCa~'~?~- - ~ CVSS Yl_~---
~ ' ; ~ _ Signature (wife~ ~
~
~ ' ~ ~S~n~v.~ :
Sworn~fo and subscp~bcit;~cfc?rr mc thi•; ~J:ry ot ;
, ~~ai ii~~ a ress _
• ,.L.-
- - - - . n. n. t 74
R ~ It POITItAS, CLI:KK CTRCUIT COURT /'~-o-s~ /i~
__'11 ' . _
' -~y ~ -
1)ep~it.y Clei•k
(T~r L~• i•aecutcJ in dn~~hi.d~~ :~n~l nnr m.~l fd~ ~i ~~ilh ( I, 1'irc~nt ( n~u1..~nJ Ju~,h:.~lc ~.~Ib la~ A«cc~rnl
acc~ ~z~ ?a~E 5~