HomeMy WebLinkAbout1487 . ~ •
• ' ` itizenshi ~
r t~on of Domicile and C p
Decla a
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TO TI1E STATC AND COUNTY TAX ASSESSOR~ ~4~0
ST. LUCIE _CpUNTY, FLORIDA:
This is my declaration of Domicilc and Citizcnship in the State of Florida that 1 am filing this day in
accorddnce, and in conformity with Section 222.17, Florida Statutes.
~ and I
1 was formerly a legal resident of ~~i~y~ ~~,~e~ ~ ~
. However, I have changed omicile to
resided at
(Street snd Numbcr) Jst
and am and have been a bona fide resident of the State of Florida since day of
, 19~ and I reside at C~~~~~N~~~
- ~ ~ (Sueet aad Number)
, ~ ~I l~C'~/.!1'LO _ County, Florida,
(cicr)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State ~
of Florida. "
(~nserl here any pertinent tacts. such as ssle ot property or business, or relinquishment ot employment at former
domic~le, temoval oi fsmily to new domicile. purchase ot home, etc.)
ENTERIrIG CHILDREN IN SCHOOL: II. HOMESTEAD EXEMPTION: ~
If entering children in SCI1001 ~ ~ ~ Lfp kM0 +~ECO1t~Eo
~l, ~ -
please list their names : f~.~u~i~ ~a~~tr u
ROCti~ PO~TRAS
GIERK rizCU1T COURt
pc~~,49 VEpt=IEQ
~;1Z 12 04 PM'1~1
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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 1 have no intention to return to my former domicile, and 1 intend to remain in
~~~~~p . ST. LUCIE , County,
Florida, permane~tklY.~+~:~_'- . <c~~r)
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~ ; y,• . . day of , ,
Sw6stti(Ip'a~;~u~~~ before me this ~ ~ 33~',(~,~
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A.D. 19 74 _
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11R , Florida
_x _
gy Deputy Clerk
~ 228 ~i~84
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