HomeMy WebLinkAbout0834 • ' ' nd Citize~shi y'
Declaration of Domicile a p
TO THE STATF ANU COUNTY TAX ASSESSOR, ~,~123
ST. LUCIE CpUNTY, FLORIDA:
This is my declaration of Domicilc and Citizenship in the Statc of Florida that I am filing this day in
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accordance, and in conformity with Jection ~~i.ii, riu~iun ~:a:~:~~• -
M' 1~ ~xFF l i SCO~s•w andI
I was fotmerly a legal resident of ~,l~ ~~~~r~ ' ~~„u~ .
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. However, 1 have changed m~ micile to F
resided at
~su«~.~a H~me«~ ~y of
and am and have been a bona Gde resident of the State of Florida since
o C/ O r` , 19Z~, and 1 reside at a 7 ~%~n ~~C k c
(Str~et s Nuaber)
~Q ~ •c ~ i~~ County, Florida,
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and this statement is to be taken as my declaration of citizenship, actual lega! residence and domicile in the State
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of rionaa.
. (Issert here anr De~tlneat istts. sucA as sak oi propertr or ~usiness. or «IiaquisAment ot employmcnt at tormor
8omie~e. cemoral of hmitr to new domieile. purdase ~t b°r°e. ete.)
N IN SCHOOL: HOMESTEAD EXEMPTION: ~
ENTERING CHILDRE ~
If entering children in school, ~
please list their names:
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ST:~'~CIE VO~~.
ROuE~ i'Z`itR#3 .
~ ClERK Ci~.Ctilt ~~r •
RFGORD Vf •~If ~
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with aU other requirements of a legal resid'ent of this State..
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
- ~ f. ~ f ST. LUCIE , 'County,
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Florida, permanently. (citr) .
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_ .•'g:;~M~.~'•. G'••. - -
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~ Swo~;tt'~~~ s~b~~~ ~efore me this Y
~ i j; :M u~~ A.D. 19 74 - i
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gy_ ~ puty Clerk
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~ BooK 230 PA~ 834
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