HomeMy WebLinkAbout1872 Declaration of Domicile and Citiienship
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TO TtiE STATE AND COUNTY TAX ASSESSOR, ~~5SO
ST. LUCIE CpUNTY, FLORIDA: •
This is my dcclaration of Domicile and Citizcnship in the State of Florida that 1 am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes. ~
I was formerly a legal resi6ent of 1:. a E'. ,1'-~ o~ n and I • :
(c:itr) (Sut•)
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resided at ~PQ~' r~' _ . However, I have changed my domicile to ~
(Street snd Number)
and am and have been a bona fide resident of the State of Florida since R day of
, 19 and I reside at ( ~~~~-e r ~ "r ~
(Stceet and Num~er)
t=~ ~ i P S~ c~~ ~ _ County, Ftorida, ;
(ci~r) ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State ~
of Florida. _
(liuert here any pertinent taets. sueh ss sale of property or business, or relinquishment ot employment at former
domicile. removal of tamily to new domicile, purchase o[ home. ete.)
ENTERING CHILDREN IN SCNOOL: Q. HOMESTEAD EXEMPTION: ~
If entering children in school, .
please list their names:
~c a+~? ~
st~ y~~rr~r ~u?. ~S
soc~+e ~a~ ~
ct~~c c~c:cr~r aoe~r ,,~1 ,
AfCARD Vr~iIF;£D~~~j~
.i~ ~l $ ~ ~!'l~!
E ' _
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I FURTNER 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
k ~ ~ 1 ~ ~ _ ST. LUCIE Caunty,
,
Florida, permanently. «'`r)
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~ Sv~Q~t-'t~,~n~~u~s~~~i-befoie me this ~ day of
. . ~ ~ . /0~~4~ ,~L,~~1~
~ ::4~_ ~ .
~ • . ~ ~ A.D. 19 74 _
- .r: : s ~ Florida
. t ~ ~ IIITS~IIRZ_ ~
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'n•,~~ ~ , ~1
g De~uty Clerk
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8001( ~~.0 PAGf ~p~
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