HomeMy WebLinkAbout1262 Decl~rafion af Gomic:~e and Cifiz~~shi~
"1(> TI IE S7~r\Tl~ Ai~U COUN'!~Y 1'A\ ASSl~SSOlt, 2?73~42 ,
St.l.ucie
_ CUUN1'Y, F~ LORIDA:
"Ilii~ is nty dcclaration c~t' 1)omicilc and Citi-r_enshi~~ in thr. Stat~ of l~lorida thal 1 am filing this day in
accorJ~ncc, and in confurniity with Scrtion 2?~.17, Florida Statutrs.
1 was formerly a legal resident of ~~eapolis ' ,_M.inriesota and t
(c~ey) (suce)
msided at __4~5?~ 12th Avenue South _ fiowever, I have changed my domicite to
(Street and Numl~rr)
and am and have been a bona fidc residcnt of tl~e State of I~lorida since ~ 5th day of
now
November ~ ~ 9~ and 1~reside at Route 2, Boac 3294-A ~Coquina tivenue-Lakewood Park~
(street ana Afumbec)
Fort Pierce , St . Lucie County, I=lorida,
(cnr) •
and this statement is to Ue taken as my declaration of citizensliip, act~~at iegai residence and dom:cile in the State
of Florida.
(loseri hete sny pertinent facts, such as sale of praperty or businrss, o? relinquishment of employmrnt at tormer
domitile, removal of family to new domicile, purchase of home, etc.)
Entering children in school:~ p i-- ~
Homestead Exem ~ion:
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: fILfO bn0 RECORDED
St• lUClE COUMTY f~A.
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` 2'73'742
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a I FURTHER CERTIrY that 1~viil rcgistcr at my local address when the registration books reopcn, and
; comply with all other requirements of a Ie~al resident of this Statr.
I FURTHER CCRTIFY that I ha~•e no inte~~tion to rcturn to my forn~er domicile, and I intend to remain in
~ Fort Pierce _ St . Lucie , County,
t rlorida, permanently. ( 7- o ; p ~J - 3-~ N e5)
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