HomeMy WebLinkAbout1825 Declaration of Domicile and Citizenship i
;
TO TIiE STATG ANU COUNTY TAX ASSESSOR, 280390 `
ST. LUCIE GOUNTY, FLORIUA:
This is my ~dcclaration of Domicilc and Citizcnship in the State of Florida tl~at I am filing this day in ~
accordancc, and in conformity with Section 222.17 Florida Statutcs. ~
1 was formerly a legal resident of . o~ / and I
. (c~ey) '
resided at L':
T.~ . However, I have changed my domicile to
- (SUeet snd Numbe~) t.~' ~
and am and have been a bona ~de resident of the State of Florida since day of
, 19 and 1 reside a~-~~ 3~z~'~ ~v.Cf ~''e' ./~r~ .
~ _ '
. (Street and NumbK) ~
' St. Lucie County, Florida,
(~ti~y) .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Fiorida. -
i
(Insert here any pertine~t fsets, such as sale ot propertr w Dusiness, or telinquishment ot empiorment at fonner ~
domicife. removsl of tamily to oew domicile. purchase of home, etc.)
- • • HOMESTEAD EXEMPTION:
ENTERING CHILDREN IN SCHOOL. ~
If entering children in school,
. please list their names:
.28~39~ -
i~~ UCIENCOUMTI? ~~A.
a~ ~ K~~~ CUit COURT
, A~cQ~D vEAir1E4.,,,,,..,..~
~ / / ~
~ F-~~F,~ ~ kS ' G~' j
AN l~ ~ ;
~
;
_ ~
I FURTHER CERTIFY that I will register at my locai address when the registration books reopen, and
comply with aU other requirements of a legal resident of this State. _
'I FURTHER CERTIFY that I have no intention to retum to my former domicile, and I intend to remain in
~ ~ ~ E- ST . LUCIE County,
~ . ,
Florid~, P~r~ra~iently. (c~~r)
--C'~'-.~1`,' . ..f i _i.~itiiff. ~ _
_ ~ L .
- .Y . . . _ r .
J',;
- , , ; S IGNATURE
'S'v~
o~tdcan~,~stlbscribed beforc me this.~~ day of
. , '
2h-c~~ ~ A.D. 19 74 .
i ing ress
ROGER POITRAS, CLERK CIRCUIT COURT , Florida
$y Deputy Clerk ' ~
(Tu be execuled in duplicalr anJ oriFin~l t~l.d with Clerk Cittuit Cuurt, and duplicate wilh Ta: Assessor) .
~
a~ 2~6 1$~~
~ _ _ _ _ ry ,
-
~
~
~ . . _ _ . . .