HomeMy WebLinkAbout2863 Declaration of Domi~ile and Citi~enship
TO TNL' STATE ANU COUNTY TAX ASSESSOR, ~9SOS
ST. LUCIE _ cpUNTY, FLORlUA:
This is my declaration of Domicilc and Citizenship in thc State of Florida that 1 am filing this day in
accor~a~cc, and in conformity_,with Section 222.17, Florida Statutes. , ~
_ ~
1 was fonnerly a legal resident of ~~.:S~Q ~~''~'a~ and I
' ( )
~ ~ (Citr) Stste
resided at ~r1,'/ ~~~L•'S" . However, 1 have changed my domicile to
(su«e ~oa N~mbe~)
and am and have been a bona Cde residcnt of the State of Florida since day of
, 19~ and 1 raide at ~ ~G~ ~J ~
~ • ~~.Ra x~~ea)
T~~.u~-~-~ ~ ~ ' ~ ~ County, Fiorida,
(~~r) - .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
ee~e anr v~*e~~oi tacu. s~cs u~k ot Pro~iy or eu:ioas. « reu~u~snmenc ot ca~dormm~ s~ tormer
domic8e, rcmoral of (amitr to new domicile, purchre ot home, ctc.)
ENTERING CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPTION: a
If entering children in school,
please list their(~~$[~_~- s : ~sos
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1 FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legal msi8ent of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
_ ST. LUCIE County,
,
Florida, permanently. ~C'`r) -
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~t $worn to and s+~bsci~bed before me this 1~ day of
_ : ~ ,
~ ~ ~ : ~ :t ; - A.D. 19_~4_.
_ ~ , ~ ,
~ ~ , Florida
"'~t(~GER ~ TRAS Ci FRK CIRGUI COURT
~ ~
By ~-~-e-- (f%~-l`-~-~ Deputy Clerk
' 600K~ tA6E~;~3U1~
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u.".~~~ 5.
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.~.~rrt : _,~-~i ; ,5 _
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. ~ Y'~'..~..~'.~. k.,"AT~' s . _ . . : .
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