HomeMy WebLinkAbout2598 Deciaration of Domicile and Citizenship
TO TtIC STAT~ AND COUNTY TAX ASSk:SSOR, .
ST . LUCIE (:pUNTY, FLORIDA: 289~42 ~ ~
71~is is my declaratian of 1)omicile and Citizcnship in the Statc of Florida that t am filing this day in
accordanee, and in conformity with Section 222.17, Ftorida Statutes.
I was formerly a legal resident of ~ Q` r S~C ~~3- ~ ~~~'`3 ~ K~- and I
c (cilr) (sute
resided at ~5 S~ 4~ A v~ , However, 1 have changed my domicile to
- (Street and Number)
and am and have bcen a bona fide resident of the State of Florida since ~°t day of ~
i
A w.o, v. S~ , 19 , and 1 reside at C• ~ Q ~ ~
(s~~Kt .~a r,~~~~) :
- ~ y~ = v~ • ~ c \ County, Florida, ~
(~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
~ (Insert Aere any pertinent facls, such as sale of property or Dusinas, or reGnquishment ot employment st forma
domic8e, temoral of famiir to oew domicile, purcAsse ot home. etc.)
.
HILDREN IN SCHOOL: ~ HOMES.EAD EXEMPTION: ~ ~
ENTERItIG C
If entering children in school,
please list their names:
Sc3,.C c~ v~e ~y N E C~ v3A~` _ _
R~`d. tC ~ v N - ?
cv"~ ~ e~ , ~..1 o s e- o~ ~ N~,
f1LEG 4~~ ;ECU30
fT W~~E c~~~tr Fu
RGG. : ~v•;~AS ~ ~
CL~«~ C : :~,f1T r ~
. AFr,~p; ve 'f,E,~ .OURT t
~ ~ ~s I 36 ~H'7~
~
~
E -
~
~
i
I FiJRTHER CERTlFY that I will register at my local address when the registration books reopen, and
comply with all other rcquirements ef a legal resident of this Statc.
- 1 FURTHER CERTIFY that I have no intention to return to my fornler domicile, and I intend to remain in
~ p r~ P~~ r C(-' _ ST . LUCIE , County,
~ Florid~ permanendy. t~'tr~ _
°~i;;r%: -
~ '
t.~ . ~ " .
~ '1~-
:
~ ''vu ~G`•
' ~
j.~ L
~ - s~ ~ ••s.,`.G ' SP /1 r - - - v
: «
Ji7~
" ` - ~`t m :
) f ~ • •
' :`~vi~'d~rt:~ ;a~k~'s4~bscribcd before me this day of
. } ,
rt=~ ~ O ~ ~o v ti ~l. °1~.~
'
-~~1~
! A. D. 19~.
~ ~~~~aC P~, a ~ c N , I'lorida
ROGER P RAS~ R IR . 1T cotTRT
gy puty Clerk
. eQOK 2~30 ~2597
.
~ .
. _ _ .s._~_.~._r - ---z~. . . _
-
~.~m ~
f , x ~ x~ ~ .
. ~~~~~~-~`~~~~:v~~.,_.v ~ , :h_~.~