HomeMy WebLinkAbout2438 Deciaration of Domicile and Citizenship
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'f0 THE STATE AND CUUNTY TAX ASSCSSOR,
ST. LUCIE CpUNTY, FLORIUA: ~
11~is is my dcclaration of Domicilc and Citizcnsliip in thc Statc of Florida that I am filing this day in
acconfance, and in conformity with Section 222.17, Florida Statutes. . ~
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! was Cormerly a lcgal residcnt of • d I
Citr) ( e)
resided at . ~n c•~1-u- , However, I have changed my domicile to
(Slteet and Numbey
and am and have been a bona fide resident of the State of Florlda since day of
, 191z~ and I reside at • .
_ (Street a umbet)
, . o~~ct~~ County, Florida,
(~ir)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
~ (lase~t here aar pe~tinent fxts, sucA as sak of properir or businsss, or telinquishment of employment at tormer
dwnicle. removal oi family to new domicile. purchsse ot hwne. etc.)
ENTERING CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: a
If entering children in school,
pleas list their names:. ~~s
f~~EO .~kc ~-~e
i t~T. LUCtE C~tiii~~~
ROCf ; ?OITRA
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CIEP,K C;::LUIT COUR~
REC9?e? Ve'~.~~IEQ
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I FURTNER CERTIFY that 1 will register at my local address when the registration books reopen, and
comply with all other reyuirements of a legal resident of this State.
1 FUR R CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
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~ ST. LUCIE County,
Fiorida, permanen (~'tr)
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SvVqrn,Co and sa ~iticd ~icfore mc this day of "
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- ~ A.D. 19 74 -
ROGER POITRAS . CI_FRK CIRCUIT Cn
1SR - ~ I'lorida
~ B ~~,C~e. ~ De ut Clerk
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