HomeMy WebLinkAbout2008 Declaration of Domicite and Citizenship
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1'O THE STATE ANU COUNTY TAX ASSL~.SSOR, .
ST. LUCIE _ COUNTY, FLORIUA: `
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This is my dcclaration of Domicilc and Citixcnship in thc State of Hlorida that I am t3ling this day in ~
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accorda+~ce, and in conformity wiih Section 222.17, Florida Statutes. ~ ~ :
1 was formerly a legal r~sident of w~ ~v f ~K and 1 g
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r~sidcd at ,L~
~ ~'v ~s 1~ . However, I have changed my domicile to
(Street and Numbe~)
and am and have becn a bona fide resident of' the State of Florida since 7 day of ;
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r-`"a~~~~`y~_ , 19~., and 1 reside at ~~~d ~ #
(Stteet and Num6er) ;
~~,Z T ~-,1 C~ ~ , J.~` L CI ~ County, Florida, ~
(c~ty) . §
and this statement is to be taken as my declaration of citizensi~ip, actuat legat residence and domicile in the State ~
of Florida. ~
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(Insert here any perline~t (acts, such as sate of propcrty or business, or rdinquishment ot employme~t at tormer ~
domicile, remoyal ot family to new domicile, purchau ot Aome, etc.) ~
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ENTERING CHILDREN IN SCHOOL: HOMESTEAD EXCMPTION: a ~
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If entering children in school, _ - ;
please list their names: ~ ~ ~
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FtLE~J ati'r ~~CORDED ~
ST. !l1CIt 4Jt3kTY F~A. €
RO.;:• .='~AS •
CIFF( :;,~IT COURT
i pF~ne-• YE. . ~ ~Y
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" 1 FURTHER CERTIFY that I wiil register at my local address when the registration books reopen, and
~ comply with all other requirements ef a legal resident of this State.
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1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
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f~'K % /'t/~ ' ST. LUCIE Count : ;
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~ Florida, permanently. (c~tr) ^ . ' ~
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~ Sworn to and subsc~t~a before me this a day of ~j
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~ ~ A. D. 19~. ~
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~~~'~-C.~ , Florida a'
ROGER T ~UZT_~QIIR~ ` ~
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~ B ` ~ Deputy Clerk ~i
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~ (To be uecuted in duplicate anJ uri~in~l tiled with Clerk Circuit Court, and duplicate with Taa Assessor) -
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