HomeMy WebLinkAbout1984 Dec{arati~~ a~ Do~~~c~~cii:~ anc~ Clc~~:~n_}~~~p
"10 Tf IE STATI: ANl) ('OUN1'1' 1'AX ASSI:SSOR, 2~4~~03
St.Lucie
_ - COUN"I'Y, f=LUitIUA: j
71~is is my ctcclaration of Uornicil~ aNd Citir.cnship in lh~ Statr c~f ~~lorida that 1 am filin~ this day in
accorcia~tce, a~id ii~ confarn~ity willi Scrtian "'?~.17, l~lutida Statutcs.
, r
I v?-as formerly a Icgal residciit of -~-~=,~-4--~1~.,[_ r-----_-__-__----__ ,~G~- ~ c-Q~-- and 1
, (c~cr) lsau
/ , ( /
residcd at L'~-~~/ - Howc~~er, 1 havc chan~cd my domicilc to
(Strett ared lvumbrr) ~
and am and have bern a bona fide resident of the Statc of i~lorida since day oi
now /
, 19_.~ and 1 /~reside at ~
~ l ~-r ~`}/3 %f~ eF'//G'C' • ~ ~
(Street and Numbc~j f
~~j ~ ` , St . Luc ie County, Ftorida,
(c~~r)
and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State
of Florida. ~
(insrrt here any pertinent facts, such u s:ile of proper[y or businesa, or rdinquishmcnt ot emploYment at former
domicile~ remo+a! of family to ne.v domi~ile, purchase uf home, rtc.)
Entering children in school: Homestead Exemption: ~
~o ~ }
iT
LUC
E COUNTY fLA.
~l . aOC, ~ =G;TitAS
CLE?K ti: ~OURT
p=~"~ l : F • c1E1
.
; ~FEe 8 li i~ AN'~~I
` . - 2"'~:~Q~
4 ~ ~
~
S -
~
~
1 ¦
~ I FURTHER CERTIFY that 1 witt r~gistcr at rny lac:il adc!ress ~vhen the rcgistration books reopen, and =
- comply with all other requirements of a Ie,,al resident of ihis State. ~
:
5 I FU TfiER CERTIFY that 1 have no intention to return to my forn~er do~~iicile, and I intend to remain in
~ . St . Lucie Count
, Y,
~ Florida, pcrmanently. y (c't,~~
,
- i Cff ` U"_ ~ _
~ ~ (Namej
- , ~ ~ _ 4x:~.2/-s.~~~ r?'~ r~_~ r' _ Cl _7~~r~~
e _ - (Addre~s)
. ,~.•',,1 . . . O~' ,i~`. .
i .
~ Swort~~to;~r~t~_st:~~'en~~bcforc nz~ this d,~~• c~f
~ v:: t. :
~ ~ ~ F A.I 19 _ 74_ _
~ ~ , ;
= ' RQ~~;- .~~'Y$~~, CI.~RK CIRCUIT COU:tT
? •L _ Z--'-- - - - - - - ~
y b•1,_~ ~ j
_ . ' ' " . ]3}/- _~~C
- ~eputy CI er~ ,
- (Tu Ix• c~r:u~cd iu Jn{•li~.rt~• :u~.l ~ i~, in.J fd. , ~~I~ l lri{ c ~•it Cuurt. :tu~,li; .;ilh 'ta~ :4•. :~.,~~rl
~
~
~ • ' av~ ~~J ~~~i