HomeMy WebLinkAbout1414 Declaration of Domicile and ~itizenship
TO THE STATE AND COUNTY TAX ASSESSOR, •
ST. LUCIE . CpUNTy, FLORIDA: 2~~~'~ .
This is my declaration of Domicile and Citizenship in thc Statc of Florida that I am filing this day in~
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accordance, and in contormity wi~n ~ciiu~i i., _~.~,.w~
~10.c..1 C~~et~P~n.~3~_. , d.~- and I
1 was fo~erly a legal resident. of ~p~y~
resided at ~ ~ . Howevcr, I have changed my domicile to
(Sues a Number)
and am and have been a bona fide resident of the State of Florida since ` day of
~ ~ ~ ~ 19~ and I reside at ~ ~ ~ ~ ~ i- a-~ ~
• (su.sc ~a r~~meu)
~ ~ _ 1 . ~ cs _ County, Ftorida,
(atr)
and this statement is te be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Ftorida. .
~ (Inssrt Aas sar Pe~tiaeat tacts. sucA as sale of propsrty o~ businsss. or ~eUn9uhhmeet ot eaploraient at tormu
domkiN. removal ot tamilr to new domlcile. Purchue ot home. ete.)
ENTERING CHILDREN IN SCNOOL: II. HOMESTEAD EXEMPTION: ~
If entering children in school, ~ -
please list their names: _
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LUCIER :OtTR~
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~ 285529
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
compiy 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
~t ~rr <c~ P _ ST. LUCIE , 'CountY,
Florida, permanently. /1
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S" and sub~ci~~`~b~fore me this day of
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_ ~ 3.: "~r~ . A.D. 19 74 _
R'••,,~ ~ _ - - , Florida
'
g Deputy Clerk
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4 ~ ~o~ 2~30 ~~Ei4Z3
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