HomeMy WebLinkAbout0986 .
claration of Domicile and Citizenship #
De
~ 845
TO THC STATE AND COUNTY TAX ASS~SSOR,
ST. LUCIE _ COUNTY, FLORIDA:
'Il~is is my declaration oC Domicile and Citizenship in the State of Florida that ! am filing this day in
..,:~ti G•rtinn 222.17. Florida Statutes.
3CC0(tl'dncc, ai~ii _ - - -
~.DV ISVI 1 • andi
1 was formerly a legal resident of ~ci~r~ '
q 0 G r h S ta • However, I have changed my ~domicile to
fCS- ldCd 8l (Stteet a~d Number) ~
day of
and am and have been a,bona fide residcnt of the State of Florida since
9~y and 1 reside at ~ ~S~t ~nd Number)
~r~` A~CK t St. Lucie County, Fiorida,
c~~r~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
;,f Florida.
(Insert hete any pertinent facts, such u sale of propertr ar bus~ness. or relinquishment of employment at former
domicile, removal of family to new domicile. purchase ot home, etc.) ~
HOMESTEAD EXEI'9PTION: '
ENTERING CHILDREN IN SCHOOL:
If entering children in school,
please list their,names: _
FILED ANp RECpROEO
3T.LUCIE COUNTY FIA. ~
ROCER ?OiTRAS ~
CL~Ax G~~Cl31T COURT ;
RfC~Rp VE~:~f1ED
~ N~r ~0 I ~4PN'7~! (
~ -
f
' 2~3'~ 845
~
I FURTHER CERTIFY that I will register at my locaita ddress when the registration books reopen, and
comply with all other requ~rements of a legal resident of th~s S
1 FURTHER CERTIFY that I have no intention to return to my fornier domicile, and I intend to remain in
• ST . LUCIE County,
,
Florida, permancntiy. «~`r~
'~T
f a/'~c ~ F,~~/I/~.G-~> ,
s
, _ S IGNATURE
Swoc~l~td'~~~d subscrib.ed before me this ~ day of ;
~
~ ' A.D. 19 74 ing r ss
: _ ~
,~p~~g: T S.; CLERK CI UIT COURT , Florida ;
. ~ .
e ~ ~ puty Clerk
By .
(To be exec~~ in duplicate and oriRinal filed wilh Clerk C~rc R`;~~ PACEte 984
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