HomeMy WebLinkAbout1016 Dectara~ion c~i Damic~i~ ac~~i Ci~izer~~111p
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"1'U TlIE STATL' ANU COUNTY 1'AX ASSESSOR,
St.Lucie ! _~COUNTY, FLURIUA: ~
Tl~is is my dcclaration of Domicilc and Citizcnship in thc Statc of Florida ihat 1 am filing this day in
~~ccordance, and in confonnity with Section 222.1 Florida Statutes.
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1 was fonncrl a Icgal residr of ~ ~ ~ , ~ ~ and I
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resided at However, 1 have cha~~ged my domicile to
- (Street and Number)
and am and ha~ bcen a bona fide r~sident of the State of Florida since _ day of
~ ~ now 1 ~ ~ -
~ , 19~., and I /~esidc at
, (Street and Number)
~ , St. LuCie County, Florida,
_ (city)
and this statement is to be taken as my _declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
(Insert here any pertinenl tacts, such u sale oi property or business, or relinquishment ot empioyment st former ~
domicile. remo~al of familY to new domicile, purchase oi home, etc.) ~
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, Entering children in school:~ Homestead Exem tion: l`~'
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2~3sso
F1LED AN'~ QECORDED
; ST. WC~E ~OUNTY FIA.
ROC; G. ?OsTRAS
f CtEF!c G~~:CU~T COURT
~ REr~~(` v'.~:F!E~~.~..~.~
; Ja~ 30 -i 39 PH'~~ , ~
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~ 1 FURTHF.R CERTIFY that 1 will register at my local address when the registration books reopen, and
comply with all other requirements of a lc~al resid~nt of this State. ~
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I FURTHER CERT FY that t have na intention to rcturn to my former domicile, and I intend to remain in ~
~ St . Lucie , County, -
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f~lorida, permanently. c~'t'~
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c • y ~ nature usband)
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Swccini~ and suj~Scrlbcd b~forr i»c this 3G day of •3 C~.c. L` _
~ ~ Jai ing a reSS ~
1~ - / , ~ G A. D. 19 _ 74__. '/1.LC ? L~i~ ~ 3 ~ U ~
ER POITR S, CLEttK CIRCUIT COURT ~
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`,j - By_ ~ !O a~~,~
I~eputy Clerk
:~7 (To bc r~rculyd iu d~~(:!~:.dc .n~d ~~n; in.J f~Icd ~+~ih ( Irt~. ('ir~n~l ('uutl. ~nJ duph:.~tr Hilh 7r~ A~ticstot)
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