HomeMy WebLinkAbout1335 Decl~ra~io~i of Domicii~ and Lit~~~n~n~p ~
'f0 Z'lil: STATE AND CUUNTY TAX ASSF.SSOIt, ~/a~~
ST. LUCIE _ ~~uNTV, r•~oRiun:
Tl~is is my dcclaration of Uomicilc and Citizcnship in thc Statc of Florida that l am filing this day in
accordancc, and in conformity with Scction 2~2.1'l, Ftorida Statutcs.
1 was fornicrly a Icgal resident o ~ , G' ~ and I ~
(Citr (state)
resided at ~ However, 1 have changed my domicile to
(Street d Number) •
an m and have becn a bona Cde resident of the State of Florida since ~ day of
, 19 y and I reside at ~ .
~ (5tteet and Number)
~ St . L cie County, Florida,
(Ci~r) '
and tliis statement is to be t~ken as my declaration of citizensliip, actual legal residence and domicile in the State
of Florida. .
(Insert here sny {+erlinent tacis, such as sale ot property or business, o~ relinquishmen! of employment at fotmer
se
domicile, removal of family 1o new domicile, purchase of home, c~c.)
ENTERING CHILDRCN IN SCHOOL: ~ HON,ESTEAD E~:EMPTION:
If enterir.g children in scho ,
please~' list thei~r names:
~
:
fILEU akC ~ECORDED
ST. ~UCEE i.OUNTY f~~.
- ROCcF FC+TRAS
CLE= K C; . .~IT COURT ~
RFG~'lr,•~ yc: c~E~
M~t [8 I o6 PH
. . . . 2~?~8~
1 FURTHER CERT[FY that I wil! register at my local address when the registration books reopen, and
comply with all other requiremcnts of a lcgal resident of this State.
~
1 THE RTIFY that 1 ha~e no intention to return to my former domicile, and I intend to remain in ~
' ST. LUCIE County,
,
Florida, permancntly. <<'"'~ ~ ~
~
~
. _ . - ~ ~ G
. er~<t.C~
~ ? . G~~~-, S IGI~IA7'iJRE
~ c~ bcfore mc this _ da of
~ ~wora to and sub~c~eb _ Y ~
N' ~ , ~ ~ A.D. 19 74 . / ~ `re
s~
~ 1
/ ~'n- ~ -
g~~~ CLERK .IRCUIT COURT , Florida
t. _
, t~,+a'
_sc - .
ny Deput}~ Cle~;1:
,
(To tn~ rretul~d in Juplicate :uid u:ifin:J fited ~~ilh Cletk Cirruil Cuurl. and du~•lica~e v~ilh T3x Assesuwr)
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