HomeMy WebLinkAbout0889 Declaration of Domicile and Citiz~nship
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TO TtfE STATE AND COUNTY TAX ASSESSOR, -
ST. LUCIE COUNTY, FLORIllA:
This is my declaration of Domicile and Citizenship in the State of Florida that t am filing ~ this day in
~
accordance, and in conformity with Section i i, rioriaa ~iniuics.
1 was formerly a legal resident of ~AgT R~~N B`~ cT1 and I~
(City) - s (StaN)
resided at _19b ~S~- K~~~ . However, I have changed my domicile to
(Stntt ~nd Number)
and am and have been a bona fide resident of the State of Florida since day of
J i) L. ~ , 19~-., and 1 reside at ~ P~ N~~~~
~O 2T ~T Uc t E ST ~ t] ~ ~ E _ County, Florida,
(Ci~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
~ TS • S -
oi rtonua.
(~nsert hare ~nr pe~tinent taets. sucA as sak of ptopertr o~ ~usinas• <elinquishment ot employatent at tormet
danicile, removal ot family to new domicile. purcdase ot hane, etc.)
N IN SCHOOL: ~ HOMESTEAD EXEMPTIONt ~
ENTERING CHILDRE
If entering children in SCt'lOOI.~ ' f Lf6 t.tin t~fC~ROfO
please 1 ist the ir names : ~~,;u~!c ;;O.`UNTY FLA.
~j D R4v"E~' rV}j~~S
LflU2~ E fT r~C 1 C E _ CtERiK r:1~GJ~T COURT
RF!:OFi~ Y£~«ICD,~..~~.
~ ~ r~n~ E Crt •~R? c~ ~ Jut. 30 12 ~3 PM'~~I ;
~~u-r-r' ~ ~2 t c ~ - - ~S8Z68 , ~ .
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i 7 3I7~ ~~LE v~ Gw~1~a ~ oPf2r~~D /,Js~~~~ ~ur~Dr~(~~o~2/~c~,t~Ew~~SrA"~E
f i~s~ ~ss 1~ GQA~y, ('.~~n?Ee.T~e~rr'
~ 7'~ti ~7~ FR at~ A~.i2 c ~ E~? ~J F~u~. ~D+~
7'~z2 R~ ~~~SE ~+o~D bo~Ds 7 Fc~N rt' uRE t~ Fi~R-~~-
I FURTHER CERTIFY that I will register 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 -
~612T ~T ~ v C 1 E _ ST . LUC IE ,`County,
Florida, permanendy.
~ ,ti,,..,.~c~,. ~ - ~n1Rs. CtR~DE ~cE,~~
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~ _ , - me this ~ ~ day of
Sworp~~+a ~ ~ ugs~~before
G 3 ~(~IMR ~ST ~L~D• :
_ : ~3~ ~
~ A.D.19 74 -
Florida f'
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ROG - - - - ¢
gy a.~'/ .G ,(o+~CC.~
",c.Z~ Deputy C le rk
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