HomeMy WebLinkAbout2605 Deciaration of Domicile and Citizenship ~
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'CU THG ~ 1 n-i L i~N U COUNTY TAX ASSL• SSOtt, 2893p9
ST. LUCIE COUNTY, FLORIDA:
Tl~is is my dcclaration of Domicilc and Citizrnship in thc State af Florida that 1 am filing this clay in
accordancc, and in conformity with Section 222.17, Florida Statutcs. ~
~ ~~~tC'~'~l -l~~ew YDh1~ and I
1 was torn~erly a legal resident of ~sue~~
l (citr)
resided at ~a-~a`~~~ "Q^~- . However, I have changed my domicile to
~ (Si~eei snd IVumbe~)
and am and have been a bona Cde resident of' the State of Florida since ~ 3 day of
k ~S ~ , 19___~_~, and I reside at 3 ~ s• ~Q/ "/os
, (Street sad Numbet)
,f~.~.-, S~, ~ t~c~ e . S~. ~ ~t P County, Florida,
-r-
t~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(lnsett here any pertinent facts, such as sale ot pruperty or business. or relinquishment ot emplo7ment at torma
domic~le, removal oi fsmily lo new domicile. purchase of home. etc.)
ENT€RING CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: ~
If entering children in school,
please list their names:
~~bo ra ~er s Ta -
~ e ~vrre~l S~a
: .
filE~ ~I~~~RDEO
st.~ut~~ : ~~~n f~~.
RGC. - ~aAs i
Cti:As : ~ ~.1~j COURT
oFri~_ .~t _ ::r~
; Auc f~ l 37 PH '7~ ~
~ -
~
~
~
~ ~89~09
Q
I FURTHFR CERTIFY that 1 will register at my local address when the registration books reopen, and
comply with aU other requirements of a legal resident of this State.
I FURTHCR CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
- . , ~.c ? ~ _ ST . LUC IE , County,
Florida, permanehtly. cc+~r~
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Y°•r~~ ~ ry y. t.,°G'c _ t`r'
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,Sw aRdsatis~i~bed before me this ~ day of 5~~~ , p~ y~
~ 3 IJ
yj ~o, -
~ A.D. l9~_. ~
~ _
~ ~r~_ ~ Florida
ROGER POIT~tAS .~R DIIRT-
- By Deputy Clerk
:3 . o R ~ ~?f04
- BOOK
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