HomeMy WebLinkAbout2544 Decl~ration of Domicile and Citizenship
7'O Ttli: STATE ANU COUNTY TAX ASSESSOR, ~~~~s~
~ ST. LUCIE COUN1'Y, CLORIUA:
This is my declaratian of Ik~micilc and Citizenship in thc State of Florida that I am filing this day in
accordancc, and in conformity with Scction 222.17, Florida Statutcs.
1 was Cormerly a legal resident of v~~ , and I
(c~~r) (sca~e)
resided at d L- R~ ~ v~f . However, 1 have changed my domicile to
(Street and Numba~)
and am and have been a bona fide nsident oC the State of Florida since l day of
~ U~ , 19 7~ and I reside at l 3 rL o~~ S~/~3 ,1> /e ~
. (Sireet aad Number)
~~7 /E' ~ S' U G l L'V .S r ~ UGy County, Florida,
(~tr) ' .
and this statement is to be taken as my declaration of citizenship, actual legal residenc~ and domicile in the State
of Flonda.
(lnsert here anr pertinent hcts, such as sale of propcrtr or business. or telinquahment of employment at fotma
domicile, removal of tamily to ncw domieile. purcha_e ot home. eit.)
ENTERING CHILDREI`1 IN SCHOOL: HOMESTEAD EXEMPTION: ~
If entering children in school,
please list their names:
~,9 iy 5 C d~G ~~2 _
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d~°. ~ C ~ G-~ ~ ~e: .
SU~I~" GD GG ~Ie fIIED :.u:.~ R~CQRA$D
5T. LU:.it ~QtltE1~Y ~II~A.
Rac~ r~,~rr~s G
CLEkK i.:..;,dIT COWIT b
RECC~^ V'_F'="D
~c J~ I~ 11 ~'7~1
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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 requirements Qf 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
'T ,5' 7~ U G~ _ y ST. LUCIE , County,
Florida~.pe:rr~a~?~fiWy.. (c„r~
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~ SviloTb'# nd~b,~c~ed before me this ~ day of ,
~ ~;C .
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` A.D.19~~
~ ROGER P' T co~1RT , I'lorida
By ` t puty Clerk
640K~
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