HomeMy WebLinkAbout1826 Deciaration of Domicile and Citiiensliip
TO THE STATE ANU COUNTY TAX ASSESSOR, 28~391
ST. LUCIE ~UNTY, FLORII)A:
This !s my declaration oC Domicilc and Citizenship in thc Statc of Florida that 1 am filing this d~y in ~ t
T
accordance, and in conforniity with Section 2''2.17, Florida Statutes.
1 was formerly a legal resident of v~'~'~ ~L~ . and I
~.r (Citr (Stace)
nsided at C - However, I have changed my domicile to
(Sireet d Numbet)
and am and havc been a bona Cde resident of the State of Florida since day of .
~ ~l' f
, 19~~ and I icsidc at ~ ~ - , ~
. - (Street d Number)
~ ' St. Lucie County, Florida,
.
" . (~~r)
and this statement is ta be taken as my declaration of citizensl~ip, actual legal residence and domicile in the State
of Florida. .
(Insert here any pertinent fxts, such u sale of ptopertr or business, or relinquishment of employment at fotmer
domicJe, remoral ot fsmilr to new domicile, purchase of home, ete.)
• ~ HOME STEAD EXEMPT ION :
ENTERING CHILDREN IN SCHOOL. ~
If entering children in school, ~
please list their names: w
FIIED AMD RECOROEp
f~y
ST. ~UCtE COUNTII FLA. v~ ,
ROGER POItRAS
CLERK CtRCUIT COURT ~
ItECORO YERIF~E~
~nr 2+1 t1 S11M'~~
~ ~
280391
~
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and ~
comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
ST. LUCIE County,
,
Florida, permanently. (c~~r) "
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~ ~ ' ` ~ ~fore m this ~ day of
~i~~'tvt
a~i~~ ~~~~1~,,~
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t. r-: -
! ' ~ ~ r 74 .
s ~ ~ - ~ ~ A. D. 19__~. -
,l, 3~ i ii~g re s s
~ 1~~~~„ :
ROC~R" ~'~RA3, CLERK C CUIT COURT , Florida
gy eputy Clerk g0~~r ~26 PaGf
25
(To be ex uted in duplicate anJ oriKinal filed wilh CirrA : nit Coutt, anJ Juplicale with Tax Aacssot) ~
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