HomeMy WebLinkAbout1829 C~ec~arat~~n af Dc~r~Ec~i~ ar~~ ~~j~z~nsr~~~
~ro •rii~ sTn~~~: ANU C•ovN•~'Y 7'AX ASSESSOR, 2~8,UV
sT, i.ucTE~ couhTV, r• ~oRi~n:
Tliis is my dcclaration of I)omicil~ and Citir.cnship in the Statc of Florida that t am filing this day in ~
~iccuraancc, an~l in confarmity with Scction 222.17, Floricia Statutcs. ,
C~~ N t w ~ a~~~ and 1
I was fornicrly a lrgal residcnt of ~E d~<< Y. ' ~s~,~~~ ~
~ -
~ 7, ~o ~ i t~ . ~ ~~'C ~ . Nowever, 1 have changed my domicile to
residcd at .
( treet aod Numbrr)
and am and l~ave bcen a bona fidc r~sident of the State of l~lorida since ~ 8 day of
F t 1~ i? u~1 t~ , 19~ and I residc at 3~ G R A N~ E v 1 S Z v~ w~~ .
- (Street and Numbe~)
d R T S 1 ~,~'C + t St . Lucie County, Florida,
(Citr) ' -
and tl~is statement is to be t~iken as my declaration of citizensl~ip, actual legal residence and domicile in the State
of Florida. . ,
(laceri hcre any per~incat facts, such ss salc of pruperty or busincss, or relinquishment of employment at tormet
domicile. remo~~al of family to new domicile, purchase of home, etc.)
ENTERI~G CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: .
If entering cliildren in school,
please l~st their nac~es:
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SL 1.UCiC- L~~iTRAS`A.
CLE ~Gc • COURt
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1 FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other reguirements of a legal resident of this State.
I FURTHER CERTIFY that I havc no intention to return to my former domicilc, and I intend to remain in
ft~ S T u G l t _ ST. LUCIE , County,
, -
Florida, permanently.
. ~ l~'~''t'
_ M un~~sH
~ . ~ , . .
~>y.~-. . ~ ~ - S IGI~IATURE
~ . :t - ri~i • • ~
~ ~6wori~~to a~~d s~}{~~r~bcd beforc me this __Z- day of
~ ~ ~ ~4 3~ GR~~?ot ~tisz~ wa~
~ ~ _ _ A.D. 19----• ~ ing ress
- ROG~:t PO~TRAS, CLERK CIRCUIT COURT p R?- ST ~.uc~ Florida
-
gy ,~~,,(~c~L ,~~1r l•.,e~.fi~i Deputy Cle i-k "
` (To be rxecWcd in d~plie~tc ~i~J ~~riFi•~af fi1rJ ~.i1h Clrrk ('ini~it ('ourl. and dui~licate with Taa A~kswr)
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