HomeMy WebLinkAbout1837 Deciarat~on ot uom~c~~e ana ~~~~~C~ ~~N `3
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70 TtiE STATE AhD COUNTY TAX ASSESSOR, -
ST. LUCIE ~ -
COUN1'Y, FLORIUA: ~~~~U'~J
"I~is is my drelaration of Domicile a~d Citizcnship in thc Stat~ of Florida that 1 am filing this day in t
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accordance, and in conformity with Section 2' .17, Florid3 Staiutes. ~ ~
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1 was [ormerly a legal resident of .
msided at ~ ' . However, 1 have changed my domicile to ~
(su«e aaa N ) ~ ~
and am and have been a bona Gde resident of the State of Florida since day of £
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,~91~, and I reside at - uK~,~a rr~me«) •
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~ .«~~t , ~!-c.F ounty, 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 Ftorida:
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(i~seyt ~ae sny patiaeat fxts, such as sale oi p~ope~ty or business, or rei~nquishment oi cmployment at tormet
do~icie, remoral of familY to aew dwnicile, pnrcdase of Aome. etc.)
EN'I'ERING CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPTION: ~
If entering children in school,
please list their names: ,
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! FURTHER CERTIFY that i will register at my local address when the registration books reopen, and '
comply with all other requirements af a legal resident of this State.
I THER CERTIFY that i ve no intention to mturn to my former domicile, and I intend to remain in
;
` f~ ST. LUCI~ , 'C~unty,
Florida, permanently_ «'`r)
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~ Swpin,hl~nd~wttsc~~bed ~~fore me this _1~ day of
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- ~ ~ A.D. 19 - 74
= ~ ~ =~s-~ ; ~ = ~ , Florida •
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I - r~ ~ F~ ~ ut Clerk '
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