HomeMy WebLinkAbout1884 ~ ~ ~ ~ r
Declaration of domicile and Citizen~h~p
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TO TliG STATE AND COUNTY TAX ASSt:SSOR,
ST. LUCIE CpUNTY, FLORIDA: ~
This is my drelaration of Domicilc and Citi~cnship in the Statc of Florida that 1 am ~ling this day in ~
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...-~.,~.f..~~~~• an~ in conPormitv with Section 222.17, Florida Statutes.
_ . . . _ - . - _ " S_ ^1 JO~ ~ , ~i4 L ~ F , and I
I was formerly a Icgal resident of Si~«~
(Citr) ~
g N~ ~ L O u1 DfF ~ R~ . However, 1 have changed my domicile to -
rzsidcd at _~s~.`~ V ~ ~
..r (St~eet snd Number) ~
and am and have bcen a bona tide residcnt of' the State of Fiorida since day of
//O ~o STon/ v ~ ;
JA' N- , 19~ and 1 residc at
(Street and Number) ~
~-r ~ L~~ C St . Lucie County, Florida,
.
(Ci~r) ;
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State '
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of Florida.
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(Insert here any pertinent fxts, such u sale ot prapertr or busineu. or telinquishment of emplo7ment at fotmer }
domicile. rcmoval ot family to new domicile. purchax ut home, rte.)
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ENTERING CHILDREN IN SCHOOL: ~ HOi~STEAD EXE TION:
If enterin g children in school, .
please list their names:
IP[!.`E4 ~yt ~':"t~0/ii~BF~
~ t c 1~ I C S - s~r.~iucs~ Ya~r ~r?.
$Oaf:+ ~'~IT~!#$
CLEkr. Ci':c~itt ~GDlf~ .
?iFGC~~ i vc"~
~ ~ ~ 3 i3 ~
2883'7'7
~ This is to certify that my brother yick Pries has moved to
i Fort Pierce, St. Lucie County, and will be residitig with me
i permanently! as I am his Guardian.
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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 requuements 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
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~ p~~ R C C ST . LUCIE County,
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Florida, pe~rrianently. (~'tr)
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ur ~ ' ~ ~ S IGNATURE
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~ . Swi~~o $r~d~pbscribed before me -this 8 day of _
~ 1 A~igust _ A.D. 19 74
. , ~ i g r ss
~ ROGER POITRAS, CLERK CIRCUIT COURT , Florida
~ ~
gy Deputy Clerk
(To be executed io duplicate and ori6inai filed with Cterk Circuit Court, and du~~ate vrith Tax Aueuot)
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BOQK ~G~ PALE ~SQ~ '
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