HomeMy WebLinkAbout1323 Deciaration of Dornicile and Citiz~nshsp '
7'O "1'I1E~ STATE AND COUNTY TAX ASSL:SSOR, ~~~~r~ _
~ ST. LUCIE _ ~UNTY, I~LORIUA: -
Tliis is my dcclaration of Domicilc ancl Citi~cnsl~ip in thc Statc of Florida that I am filing this day in •
accordancc. and in conforniity with Scction 222.17, Florida Statutcs.
I was formcrly a legal resid~nt of ~ S~~~ . N• and 1 -
(c~~r) (s~ )
resided at ~ Y~ A~ Howevcr, 1 have changed my domicile to
(Stteet and Numbe~)
and am and have Ix,~en a bona fide resident of the Statc of Florida since 3 a day of
~ \ , 19_l~?
- and 1 reside at ,)se_+~ ~ ' ~A ~ A ~ J 1~ /'1 V~ •
(Stteet and Numbcr)
P~ ~ S1 ~UG 1~ . St .~Lucie County, Florida,
(c~~r)
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the State
of Florida. .
(l~sert here any pertinent facts, sucA u sale ot property or business~ or relinquishment of employment at former
domicile, remo~~al of family lo new domicile, purchase ot home, etc.)
. ~ HOMES1'~AD EXEMPTION:
ENTERING CHILDREN IN SCHOOL. ~
If entering children i~ -school,
please list their names: :
fItEQ R4? -tEC4RaE0 ~
ET.LOC~C ~~LMT1f FLA. ~
RU;: ~ - -RAS
ClfrR - =Zt,}:: COURT `
R~~~` "
~ .
~y MArt [8 il 4~ PH'~~I
~
~ _ 2'~9`72
1 FURTHER CERTIFY that [ will regisier, at my local address whcn the registration books reopen, and
comply with all other rec~uirements of a legal resident ot this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ ~f~~~` Of.J L 1~- ST. LUCIE County,
. . ~ T ~ s' )
Florida;;~cr~ancn 1 ~ • r_ (c~lr)
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S~~vofi.~! 'g sc,t~bald bcforc mc this _ day of ,
~ 1 ;
74 3~~ s y~~.. o~,,,~-~- _
A.D. 19
• x ing c,~. • ~ss
ROGCR POITRAS, CLERK IRCUIT COURT ~~~5~ L~c~e. , Florida
gy Deputy CZerk ~ R 225 P,~1321
~ 6001(
(To be ex. •:.•d in duplicale anJ uri~in~l fileJ acith fl.rl. ('itcuil fourl. and duplicale w~lh Tax Assessor)
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