HomeMy WebLinkAbout2937 Declaration of Domicile and Citizens~~p
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T~J THE STATE AND COUNTY TAX ASSL'SSOR, . ~ ~
~ ST. LUCIE COUNTY, FLORIDA:
Tttis is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this tfay in
accordar,ce, and in conformity with Section 222.1 Florida Statutes. ~
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I was formerly a Iegal resident of _~,~.s L:~-lJC~ ~ and I
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resided at T-~ ~ . However, 1 have changed my domicile to
(Strcet snd Number)
and am and have been a bona fide resident af the State of Florida since day of
t~' • , 19?~ and 1 reside at - 2 ~~5. -~T~,C~..~c
~ (St~eei~nd Number)
~f~ ~~~r' ~ , ~ ~ 7 ~~l~~l~° County, Florida,
(~~r) • .
and this statement is to be taken as my declaration of citizenship, actual tegal residence and domicile in the State
of Florida.
(lnse~t here any pertinent facts, such u sale of property or business, or relinquishment of employment at tormer
domicile, removal of family to new domicile, purchase ot home, etc.)
ENTERIAJG CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPTION: a
If entering children in school, ~
please list their names:
, ~ ~ '
_ P f a ~ c/ % ~ ~S
.LL.=,~.~2 1~/ ~t ~m 1~~e~/ i~ ~
`''t 2 i ~87~
~'lLED kH~ RfCO~
'ST. tUC1E ;,041(71' ~,A,
ROCs:n : 3~T{ys
CLEkK ~,;;'.~JlT C6~iT
PF~PRP Y~ ~ = iE4_,~~,,,~ ~
. ~ f~e 18 ~ ~ ~8 ~N'7~f _
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I FURTHER CERTIFY that I witl register at my local address wl~en the registration books reopen, and
~ comply with all other requirements ef a legal resident of this State. ~
. :
` I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
~ e~-G P ~ ST. LUCIE , County, `
Flon,da,• ~erAnanently. =
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f~'-~,,1'••r ~ 7 ~s
' ~ ~ _ .
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Sxiorn;tc~~a~aabscribed before me this day of
~ r, r
~ ' / CJ ~/.~~r 1~
,j~~, A.D. 19 74 _ .
~ ROGER P T,A~~_CI~::,K .IR .UTT c0 1B~ ~~'y~ , rlorida 1
~
gy C Deputy Clerk ~
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` (To be executed in duplicale anJ nriginal filed with Clerk Circuit Court, and duplicate atith Ta: Assessor)
f:'t 223 PaGE2937 _