HomeMy WebLinkAbout1695 ~
Declaration of Domicile and Citizenship
' 2£~t~'73'7
"i~~~ 1'!!F STATE: AND COUNTY TAX ASSESSOR,
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ST. LUCIE COUNTY, ~LORIUA: ~ ~
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Ti~is is my dcclaratian of Domicilc and Citizcnship in the Statc of Florida that ! am filing this day in {~3
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accorclanc:c, and in conforniity with Sectio 222.17, Florida Statutcs. . ~~f
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1 was foRnerly a legal resident of y~"~'~~
~ - (stste) ~ ~t
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r~sided at . However, 1 have changed my domicile to
(Street and Number) `
an am and have M,~en a bona fide nsident of the State of Florida since day ot' r;
~ , ~ J :
~J 19~, and I reside at y t
- ~ (St~eet and Number)
. ? ~ St . Lucie County, Florida, ~
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(city ) :
and this statement is to be iaken as my declaration of citizenship, actual legal residence and domicile in the State ;
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of Florida. ~ ~
(Inseri here any pertinent facts, such u sale ot prope~ty or business. or relinquishment ot employment at former
domicile, remoral uf family to new domicile, purchase ot home, etc.) ~ z
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ENTERI"~G CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPTION:
If entering children in school,
please list their names: ~
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Cli~-c- ~ P_~ :
2~8873'~
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-D-~L/ F{L~O~R_ ?ECuRDED
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ST. tUC~:. ~9UIiTY F~A.
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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 legal resident oi' this State. ~
I FURTHER CERTIFY t at I have no intention to return to my former domicile, and I intend to remain in
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~ ~ ~ ST. LUCIE County,
~ Florida "~Kl~?. , cc~tr)
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Sworii't6 an8 s~bscnbed before me this ~ day of _ . ~
~ ' ~ 74
A.D.19 1 ng r s
~ RK CIRCUIT COURT
~ ROGER POI RAS~ CLE _ , Florida
~ 1 ~
~ gy Deputy Clerk
(To be eaecuted in duplicate anJ oriRinal filed wilh Clerk Circuit Court, and duplKate with Ts: Assessor
~ 2~30 ~~1fi94 ~
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