HomeMy WebLinkAbout0459 Deciaration of Domicile and Citizenship =
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"1'O T~~~ STATF ANU COUNTY TAX ASSl:SSOR. ~~.vWSS ~
ST. LUCIE COUNTY, FLORIDA:
- ;
'Ilii~ is my dccl~ration of Domicilc and Citizci~ship in thc Statc of Florida that 1 am filing Ihis day in ;
accordazice, and in conformity with Section 222.17, Florida Statutes. ~
iC~~gc~ ~LLi~~ ~ andi . `
1 was formerly a legal resident of ~~yir~ '
Cc/ However, 1 have changed my domicile to .
r~sidcd at ~ 3 -S ~ ~~wo 0
(St~eet snd Kumber) ;
and am and have been a bona fide resident of the State of Ftorida since ~ ~ day of !
7 , 19-~~ and I reside at l ~
(sue«:qe ~m~)
~oP ~ ~l P ~ ~ ~ ~ ~ f County, Florida, :
~~~y~ ' f
and this statement is to be taken as my declaration of cilizenship, actual legal residence and domicile in the State `
of Florida.
(Insert Aere snr pertineol ixts, such ~ sale ot ProPertr o~ business. ot relinquithment oi employment at tormec
domicile. removal of tamily to ~ew domicile. purchase ot home. ete.)
CHILDREN IN SCNUOL: ~ HOMESTEAD EXEMPTION: ~
ENTERING
If entering children in school,
please list their names:
j~~lUClf C4uMlY ftd,
ROGcR PO'7R4S
- C~[~K C+:iv~iT COURT
RFC~~iO ~/E~ ~r~EQ
- - _ ~t ~ 02
i
` • 285~85
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I FURTHER CERTIFY tliat I will rcg:ster 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
~C ~"/E~C ~ ST. LUCIE , Ca~nty,
Florida, permanently. ~;{/~t /f ra M- /'~i
yjr~ Z7L~ _
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~ ~ ./1 /S /N,( t .
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~ ~ i ~ ~ 0 ~ ~
_~J .:;~~r~ 4
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- day of
Qtn to ar~slb~tibed before me this
~ : :
- . ~ ~ ~ ~ A.D. 19~_.
. - .i ,
~ - Florida
' ~ GIIST_~nilRT ~
' ; ~,_~LER
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{f . r•~!~'G~,`,` De u~ Clerk
By.. . P Y
soo~ ~~9 ~ 4~9
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