HomeMy WebLinkAbout0766 ~t
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Declaratian of Domicile and Citizenship
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TO THE STATE AND COUNTY TAX ASSI:SSOR, •
ST. LUCIE 2~~5 ~
COUNTY, FLORIDA:
77iis is my declaration of Domicile and Citizenship in the State of Florida that 1 am ~ling this day in ~
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wn~ •n ~^~,~J_ Q~..~..~....
accordance, anci ~n coniormiiy wiiii :x:cii:;~~ _ -
I was formerly a legal resident of Q~ 4 R~~~~ E' ~ ~ L~" ' and I
~ (citr) (S1aee)
resided at ~S S 3 ~ Rf~~1/G ~ /q 1~~~ . However, 1 have changed my domicile to
(Sueet snd Numbsr)
and am and have been a bona fide resident of the State of Florida since ~~R S T day of
J Gt._ y , 19~~ and I reside at ~ R~ n R y C' / 2 c`~
(Street and Number)
~ E 1~ o R T S 7- L~`~~_, S T L u- c i tj. Cdunty, 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
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(Insert hete anr pertinent fxts, such at ssle of propertY or business. or relin9uishment ot employment at forme~
domic~le, rcmoval ot family to new domicile. purchase of home. etc.)
ENTERING CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: ~
If entering childre~ in school,
please list their names:
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F~IED aNLi RECuR0E0 ,A~ ~
' ST. lUC!E C!it,'NTY FLA. ~
! - ROG-a r~)tTRAS i,
~ CLEP.K ?~Jft COURT ~
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I FURTHER CERTIFY that 1 will register at my local address when the registration books reopen, and =
; comply with all other requirements ~f 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
~ j~dR7r ST ~-u-~~ C _ ST. LUCIE , 'County, ~ ~
~ Fiorida, permanentiy. tc~~r) ~
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~ Swbrn to and si'tb~cr~~d b~fore me this day of ~t -
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~ . ~ - p.D. 19~~ '
~ , . a'u~ ,pG~2 % s 7- LGc.c/C , Florida ~
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~ ~ v~c~ De ut Clerk
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