HomeMy WebLinkAbout1246 Declaration of Domi~ile and Cit~zenship ' :
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TO 1'tiE STATE AND COUNTY 7'AX ASSL•SSOR,
ST. LUCIE CpUNTY, FLORIDA:
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This is my dcclaration of Domicilc and Citizcnship in the State of Florida that 1 am tiling this day in
accordance, and in conformity with Section 222.17, Florida Statutes. ~ .
~L L I i? a i S and I ~
I was formerly a lcga! resident of GRo ~ ` ~ ~ , - c
~ / (ciir)
resided at Z G~~~ o N ~VE • . Howcver, 1 have changed my domicile to
(Sueet. ~nd Number) '
and am and have been a bona fide resident of the State of Florida since day of t
;
Sf 1?N~TMo ~P~ .a?~?E ~
~U t~_, 9 7.~, and i reside at 7G 7 Nu~~) s-
County Florida
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and this statement is to be taker? as my declaration of cetizenship, actual legal residence and domicile in the State
of Florida.
(Insert Aere aar pe~tinent fscts, such as sale uf ptopertr or business• or reliaquishment ot employment at tormer
domicile. remors~ of tamilr to aew domicJe, purcAsse uf home, ete.)
ENTERING CHILDREN IN SCNOOL: .r~ HOMESTEAD EXEMPTION: ~
If entering children in school, _
please list their nrmes:
~
F1~E0 ~Nr~ ~ECOROEO ~S~
ST_ lUClE ~JUMTY Ft~,
CLERK
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URT i~ `
pF~:~?~~ Yf4:t-~~p
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8 ~ oe PM'1~1
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~ FY that I will re ister at my local address when the registration books reapen, and
I FURTHER CERTI 8
comply with all other requirements of a Iegal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
~~-r esr v c~~ ST . LUCIE , County,
~
Florida, permanently. ~~tr)
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;to and subs~bC~", forc me this day of
S~c°~ -
: '-~si:. - : ,
~1<. - ~ t~ ~ A.D. 19~ -
: - ~ti~'~'~ ~ , Florida
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By ` ~c Deputy Clerk ;
t $~~~9 ~~45 ~
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