HomeMy WebLinkAbout1442 Declaration of Qa'rnic~t~ a~d Citizenship
TO TtiG STATE AN1) COUNTY "I'AX ASSESSOR, ~~U~~~
ST. LUCIE _ CUUNTY, FLORIDA:
Tl~is is my dcclaration of Domicilc .and Citizrnship in the Statc of T'lorida that 1 am filing this day in ~
accordancc, and in conformity with Scction 2?2.17, Florida Statutcs.
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I was formcrly a Icgai residcnt of - 7~ h~e ~ Q 5 r ,~1 ~ w JE es y and 1
~c~~r) (sa~~)
iesided at ~ u~ DDA v~ ~c R-r . . However, 1 have changed my domicile to
..w~ (Street and Number)
and am and have bcen a bona fide resident of the State of Florida since ~ day of
191q?!
- and I reside at .L~Z e~ NJ d v~ t's~- .
~ • Lo T2 (S«Kt snd Number)
~c2, ~-r ~ JG f L ~QiL~R P-~~ U~~ r~' St. Lucie County, Florida,
~c~~r)
and this statement is to be taken as my declaration of citizensiiip, actual legal residence and domicile in the State
of Florida. - ~
(Insert here any pertinent facts, such as sale o( property or business, or relinyuishment of employment at fo~mer
domic~7e. removal of (amity to new domiciir, purchau o( Come, etc.)
- • ~ - HOMESTEAD EXEMPTION :
ENTERING CHILDREN IN SCHOOL. ~
If entering children in school,
please list their names:
IIl~EO ANO BECORQEO
:t IlOCEA~POIMRAS ~
! C~ERK Cif•CUiT COYRT ,
, !t[COR~ Yf.P~~~EO
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~ I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
~ compiy with all other requiremcnts of a legal resident of this State.
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~ 1 FURTHER CERTIFY that I havc no intention to return to my former domicile, and 1 intend to remain in
~
ST . LUCIE , County,
~ (citr) '
Florida, permanently.
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` ~Swom'~p and si~bscrtbed before mc tt+i; day of
~ ' ~ 74
~ ~ " : r ~ _ j~~_ _ . A.D. 19----• ~ "~ra i ing re s s
. ~ ~~~to ~i~A?~S , CLERK C' :l1IT COL'RT Florida
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F~,,rt ~ . ~
,,,.tir .e~
~y ~ Lcauty Cler'K '
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? (To bc cxetutcd in d~•; itr end Of1~If1:1I ~IICII N"IIII ~ I~'fI: CIfCl/1I C/I!If(. and J~~licalc nilh Tax Assrssor)
SO~M ~2~ ?'~SGi ~44~ ~
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