HomeMy WebLinkAbout2485 ' f Domicile and Citizenship ~ ~ ~
Dectaration o
1
~~O Tt1E STATL AND C'OUN'IY TAX ASSESSOR, ~9~38
ST. LUCIE CpUM'Y, FLORIDA:
` This is my dc~claration ot Domicile and Citizcnship in the Statc of F{orida that I am fifing this day in_
,
accordance, and i~ oontormity with Section 22~.17, Florida Statutes.
~ D~4 T t~fi O N ,-tl w~Te r s e y__ and I
1 was formcrly a legal resident of ~~~y~ ~su~.~
~ ,~'~~~n Aven~~~ . However, I have changed my domicile to
resided at ~
lsu~ ~.o n..e~.)
and am and have been a bona fide residcnt of the State of Fl ~ a since ~ 3 day of
19.._.ZSE-, and 1 reside at O6 ~ s~`•~ ~
~ (sc~c:aa N~~eK)
f ~~ie r~ e S 1~ L~~ jc - County, Florida,
(cKS)
and this statement is to be taken as my deciaration of citizenship, actual legal residence and domicile in the State
of Florida.
r~~ ~i~~ fK~ ~~~~~~~Y a pusinar, or reliaquishment ot emploYment st torma
~~ral oi t~ib b~ew daaici~. p~rt ot ho~e. etc.)
. HOME STEAD EXEMPT ION : ~
ENTERING CHILDREN IN SCHUOL.
If entering children in school,
please list their names: ~ ,
ERC L LANE~ ~
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I FURTHER CERTIFY that 1 will register at my locai address when the registration books reopen, and
~tpp}y with all other requirements of a legal resitlent of this State.
I FiJRTHER CERTIFY that ! have no intention to return to my former domicile, and I intend to remain in
- o f c r~ e ST . LUCIE , County,
Florida, permanently. can)
1~ " G' .
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~~bed betore me this ~ y day of
. O. L3o x 3~-O 7 '
- S~~e 0 . , .
A.D. 19_~_
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o ~ ~ ~ , « , Florida
ROGER . _
~ B c ~ puty Clerk
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