HomeMy WebLinkAbout2126 Dectarat~ af Domicile and Citizenship
TO TNE STATE AND COUh"[Y TAX ASStSSOR, ~Q4O
ST . LUCIE ~~y, F~,pRIDA: ~
This is my declaration ot Domic~7c and ~tiunship in thc Siate of Florida that 1 am Cling this day in
aooordance. and in oonlormity.witb Scrt~on 2'L I T, Flotida Statutes. ~
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1 vru fomxriy a~a! raidcat oi ~~'~~•t~~ and 1
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resided at Howe~rer, I have changed my domicile to
- ~,.a
and am and have bcen a bona fide zesidcat of the State of Florid~ sincx lOfi~ day of
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~iGt,c~~ , 192~.. aod 1 rGSidc at -~3~~
~.ae,.a H..e~r)
~/:-,~t ~T ,C laG / ~ County, Florida,
and this statcment is to be t~lce~ as my dcrlantion of ~citiz~en~6iP, actwl k~l r~idence and domicile in ihe State
nf Fl~ida.
' (Mnat Ibe ahr ~at~e~ fac~s,. sa~ s sdc ~t w.~at= ~r ~a:~s. ~r ~ of eaPbY~t ~ tarne~
io~ioie, te~e.al ot faia Mrdr. ~rsl~se ~a~e. eica
. CHIIDREN IN S(~i00L: ~ H~SZEAD FJJ~EEI~PTION: a
ENT£RI'~G
If entering children in school, _
please list tt~eeir na~es:
(,tE.~/ ~'H~'.~57~ ~fi`-f~ .~ifl.~ ~~l/~
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Fr~E~ tt, f ~t~
tt~.t ~:i1 FI.~
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CtEFf. ,:.:::i CW3~?
s?f~:?~^ Yt='''£D
~ . ~ ~ ~1 2 3~ pH'T~1
; ~ - 28~Q~#0
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I FUR'iliER CERTffY that 1 w~ll r~r~ister at my bral ~ddr~s when tbe registration books reopen, and .
vompty vrith a11 other r~qu~ts ef a 1e~a1 resident of this State_
1 FUR~R CERT~Y that 1 ha~r no iatention to return to my former domicile, and I intend to remain in
~
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/,~s~= ST • LUCIE , County,
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$N~ ~t0l~ tiit ~1lS , ~i~/ Of •
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i f~' . A.D_ 19~ ~LT
ROGER TRi'tITT cot7RT fr , Florida
~ B , , Deputy C2erk
- dOOK~.e~l1 ~if~~
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