HomeMy WebLinkAbout0909 Dectaration of Domicile and Citizenship
TO'Tt1E S'TATE AND COUNTY TAX ASSCSSOR, 2~~82 -
ST. LUCIE ~CpUNTY, F1.ORIDA: ~
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in
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r-~_ c~•.....•e.
accordance, 8RQ IR COilIO(tillly Wliil ~~iivii v«• i~ s ~ i~i:v.~
1 was formerly a legal resident of .~~""~'~S 11p ,~J CIl1 4lLN_ and I
_ (a~r) ( a)
resided at l~b'y G~~-°q R~t V e-' . However, I have changed my domicile to
sem~,Aa N~meK)
and am and have been a bona fide resident of the State of Fiorida since day of
~ 19~:~, a~d I reside at ~ ~ ul~~~~h
~ (str.~,~a H~e.~)
~ . ~uc~ ST ~UIGI ~ County, Fiorida,
(aer)
and this statement is to be taken as my declaration of citizenstiip, actual legal residence and domicile in the State
vi ~i~sa.~.~.
~ (Iascrt Aae any pertincnt faets. such as sa~e of proper~r o~ bus~neas. or reunquishma~t ot smp~orw~a~t a i«mer
domic~e. remwral ot family to new domicile. Pu~ch+se of bwne. etc.)
• HOMESTEAD EXEMPTIONs ~
ENTERING CHILDREN IN SCHOOL. ~I.
If entering children in school, -
please list their nemes:
~ fi e 2N~'E~ O ~
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. F~~a ~y _ ~ ~CROEO , ~ .
St.LUCiI C~NNif FU.
ROCf R ~ •:?RAS
CLE~K C+"~i~tT ~0{~RT ~
RE~(•Ra Vr?•r~rv
~ ~UL ~0 I 28 t'H 'T~
i
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i - ~ ~~$2
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legai resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
~ ~5~ ~~G~ ~ _ ST. I.llCIE , 'County,
Floridas permanently. ~~'~yy
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wioin.io,a~id su scii~ ~fore me this U day of
i~~: ".:t~ ~ 5 8 S.t~. ho
- ,._t~ 8 L ~
` ••'~-~•~~t ~ A.D. 19 74 -
t~`~`~' ~n('f ,~t ~uCi ~ , Florida .
R R _ ~
m
gy Deputy Clerk oR
a~ox2~30 ~l9 t
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