HomeMy WebLinkAbout2108 Declarat~on of Domicile and Citizenship
•
TO THL' STATE AND COUNTY 1'AX ASSESSOR, ~+~~liZ$
ST. LUCIE _ CpUNTY, FLORIDA: ~
This is my declaration of Domicile and Citizensl~ip in the Statc of Florida that 1 am filing this day ili` "
ac+~orda~~ce, and in conformity with Scction 222.17, Florida Statutes. ~
~ ~q~ ~ ~ . , and 1
1 was [ormerly a legal resident of ~e~
~ c~- /LUtt ~I~jj . tciir) (
resided at L . However, I have changed my domicile to
~ (Street ~nd Number)
and am and have been a bona Rde resident of the Statc of Florida since day of
, 19 and I reside at
ne~ .~a N~meK)
~rc.~ ~ c cc
/ -~-L County, Florida,
.
(~ir) •
and this statement-is to be taken as my declaration of citizenship, aciual legal residence and domicile in the State
of Florida.
(lasert here any pectinent facts. such as sale ot propertr or business. or relinqufshment ot emplorment ~t tormer
daoic~e. removal of tamilr to new domicile, purchase ot home. etc.)
ENTERING CHILDREN IN SCHOOL: ~ NOMESTEAD EXEMPTION: a
If entering children in school,
please list their names: _
' j4E~ aK* ~~~G~~OE
~T• ~1iCt~ GOyNtY f~
OGzf+ rjcTRAf ~
c~EFx c,•:~u~; 60URT ~
Recc~c vr~~=~f4
, . 1~ t1 1 ooPM'1~
~ -
~
E ~ ~~Q(~~r
E ' ValtllGla)
I FURTHER CERTIFY that 1 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 THER CERTIFY that I ha e no intention to return to my former domicile, and I intend to remain in
` ST . LUC IE County,
,
Florida, permanently.
-
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~f~1'y~,~' ~.y:
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~ Sqisy~j tp '
.~~~~~~~~ed before me this day of
~ . ~
~ A.D. 19-Z~. .
~ ~ orida
- ROGER P CIIIT~IIj1~ I~ tJF E'h S- ma~~ .
By Deputy Clerk
S
~ BOOK ~0 PA~f ~~~7
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