HomeMy WebLinkAbout2943 Declaration of Domicite ~nd Citize~shi~
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lO "I Ill: S'I~ATi: Ahl) ('UUN7'Y ~~AX ASS~:SSOIt. '
ST. LUCIE 2~Q~~ ~
_ _ - COUN7'Y. FLORIUA: .
77~i1 is my dcclaration of Damicilc and Citi~cnshi~~ in tlir. Statc of Florida ihat I am tiling this day in
arrarciancc, and in cunfonnity with Scction '_'?~.17, Flurida Statutcs.
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' 1 was formcrly a Ir~al rrsid~~nt of and 1
(c~~~r) (sc.~e)
rrsidcd at Howcvcr, 1 havc changcd my domicile to
(Street anJ Nwnber)
and am and havc bcen a bona fidt rrsident of the State of Florida since ~3 - day of
1 1~_~-G~ , 19~~, and 1 residc at ~•.~D ~ ~
~ , ~ (Street an8 Number) f
_y ~ . y",c£/ti.C~ , County, Florida, ~
(c~~y) ~
and tliis statement is to be taken as my declaration of citizenship, actual legal msidence and domicile in the State 4
af Florida. 1
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(lnseri here any prrtinrnt facts, such as sale of property or business, or relinquishment of employment at tormer ~
domicile, removal of family to new domicile, purchase ot home, ete.)
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ENTERING CHILDRE:V IN SCHOOL: ~ HOMESTEAD EXEMPTION: _ !
If entering children in school,
please list their names:
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FILEO ~ti[' ptC~K0E0
ST_LUC~~ ':~~UMtY fLA_
RGGi' : c,:TRAS
~~~FK •;,t;'T CGURT
nrrr : ~ = _ J
Mart 15 'L ZsPM'7~1 j
2'7'~Q~B
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; 1 FURTHER CERTIFY that I will register at my local address ~vhen the registration books reopen, and '
~ comply with all other requircments of a legal resident of this State. ~
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I FURTHER CERTIFY that 1 have no intention to return to my forn~er domicile, and 1 intend to remain in
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' ~ ST . LUCIE , County, f
~ Fiorida, pcrnianently. (~'t'') ~ ~
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~ yj ~ S IGNATI7
.~i^'• ~ Ci ~ f
~ SLVOfII.tv and subseti~ed beforr me this __~S day of - +
~ ~ ~ ~ A.1). 19 74 ~ ~p. S f
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; ROGER- P.OZT,R~S:~; CL~RK CTR UIT COURT , Florida
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` ~~~'l e ut Clerk
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(To tx ezrcutrJ in Auplir~tc and nn~~in:d f~hd with ('IrrA ('ircuit Courl, anJ JuplKatc N~ith Tax Asscssor) '
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