HomeMy WebLinkAbout1315 Declaration of Domicile and Citizenship
"TU THE STATG AND COUNTY TAX ASSL.SSOR, 2~~?3~~
_ST. LUCIE _ COUN1'Y, ~LORIUA:
This is my d~claration ot Domicilc and Citi~cnship in thc Statc of f
lorida that 1 am filing this clay in
accordancc, and in conformity with Section 222.17, Florida Statut s.
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1 was formerly a legal resident of and I
~C~IY~ ` ~ ~Sl~lt
resided at ~ U~ e~~ ~ . However, 1 have changed my domicile to
(Street a~d Numbet)
and am and have bcen a bona fide resident of ihe State~ of Clorida sinc °2 ~ day of
! a^`'''~ , 19~ and I reside at 1 ~ ` ~ • '"'''-e c '
(Street and Number)
,i,~,~~ St . Luc ie - County, Florida,
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and tliis statement is to be taken as my declaration of citizensliip, actual legal residence and domicile in the State
of Florida. . -
(lnseri here sny pertinent facls, such as sale ot ptoperly or busincss. or relinquishment of employment at former .
domic~7e. removal ot family to new domicile, purchase of home, etc.)
OL• ' HOMESTEAD EXEMPTION:
ENTERING,CHILDREN IN SCHO . ~
If entering children in school,
please list their names:
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FILE~U SN^. F~C03~JE0
ST. LUC'' ;,~;;~ir FU. 1~
~ F"v.;::= -•::rRAS
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1 FURTI~ER CERTIFY that 1~vill register at my local address when the registration books reopen, and ~
comply ~vith all other rcquirements o~ a legal resident of this State.
I FURTHER ERT Y that 1 have no intention to return to my former domicile, and I intend to remain in
ST . LUCIE County,
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Florida,,porm eq~ly: ~c~~''~
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~ Swar'n.tq,~ ''~~~d Lefore me this day of .
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~ i ing ress
~ ROG~R POITRAS, CLERK TRCLTIT COUR''' _~~,,~,c,K, , Flor
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~ gy ~ Dep~sty Clerk
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(To tx ecut.•J in Jupli.atr an~t .:r:,:i~~al f~lyd .vitl~ Clcrk ('ircui~ Court. and Juplicatc v~ith Tax Asussor) ~
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