HomeMy WebLinkAbout1089 Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, 2~~I 918
ST. LUCIE CpUNTY, FLORIDA: ,
'I1~is is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes.
I was formcrly a legal resident of ~~~~`t-~ l L t~ t~! D 1 t4 ~r~l and 1
(ciir) (saa)
resided at . However, I have changed my 'domicile to
csu~.e .pa H~~e~)
and am and have been a bona fide resident of the State of Florida since - day of
~ R~:. , 19~ ~ and I reside at ~1 ~ ~ ~ ' ~ u ~ ~ n ~ ~
(sa~~.ea N~~ee~)
~
v~T S~ Lv L St . Lucie County, Florida,
(~~r) .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
' (tasert here any pertinent tacts, such as ssle ot property or busineu. or telinquishmeat o[ employment ~t totmer
domiule. rcmoval ot tamily to new domicile. purchase ot home. ete.)
ENTERING CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPTION: .
If entering children in school,
please list their_names:
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1~2~(L`~L
~3 i L ~
_ ~3''(ZV ~ ~ 1ZC~ S~ o ~
~1 LEO AMD RECORoE ;
~T ~UCiE COUNrr f~,,~
' aLEFKCCR:;,UIt C
URT ~
~'I, - RECORC VEP,IFIEp~„~~ ' ~
~
~ - ~ur 13 9 ~z AM'l~l
~
~
~~3'~ 918
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.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend~to remain in
~ r S i, C 1 L_- ST . LUCIE County,
,
Floxicta";~perl~?nCntly. (c~~r)
,;...tr.~......
_ r~'t;U!?'~; . .
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~ ~:c ; " - SIGNAT(JRE
•h
`
i~• ~ S'~- •
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,~p~: ta 'bscribed before me this ~ day of
~s~~~ -
_f 74 . 3? 1 Ist . S~~~ ~~a c~~ ac~~
A.D.19 ng r s
ROGER P ITRAS ~ CLERK CIRCUIT COURT ~j2 ~ ST L~_=, Florida
By ' ~ , ,c~eputy Clerk ~ R ~ PAGE1~~r1
600K
~
-
(To be e cuted in duplicate and oriRinai fded with Ckrk Circuit Court, and duplicste with Tax Asseswt)
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