HomeMy WebLinkAbout2097 Declaration of Domicile and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE CpUNTy, FLORIDA: '
This is my declaration of Domicilc and Citizenship in the State of Florida that 1 am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes. r
I was folrmerly a legal resident of ~ u w c~~.. ~v ~ QQ
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re~ided at Z S 5• ~~~e ~ . However, I have chan d my do~nicile to
~su~.s a~+a N~meK 4 ~tiQsd~
and am and have been a bona fide resident of the State of Florida since day of
, 19?u , and I reside at b~ R k~' ~ r~ p~
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- _O~~ (gtceet aad Number
d~~~ _ _ ~ ~ ~ ~ s ~ K G ~ COUriIy, Florida,
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(1~ hece anY perlinent facts. such as sale of propetlY ot ~uainess. <°~~°9°~M~ ot emplormcnt at tormet
dauicie~ removsl oi familr to new domicile, purduse of home. eic.)
REN IN SCHOOL: HOMESTEAD EXEMPTION: ~
ENTERING CHILD .
If entering children in school, ~
please list their names:
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• ST ~ 0 AND RECORpi .
UCIE COUN?y F ~
CIERK
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RECOR COUpT
6 vERIF1E0
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I FURTHER CERTIFY that I will rcgister 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,
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FloQda~, p~'rnarlently. (c+~r) - -
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3wor~l~~o.andsubscnbed before me this day of
. ~~~-L A.D. 19 74 -
~T , Florida
ROGER POITRA~, _~'.~cTRCt~TT con
g ~~.f,e.2 ~~,8~ Deputy Clerk
y 227 ~?~~95
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