HomeMy WebLinkAbout2902 Declaration of Domicile and Citizenship
. 289541
TO THE STATE ANU COUNTY TAX ASSESSOR.
_ ST. LUCIE CpUNTY, ~LQRIDA:
This is my declaration ot Domicilc and Citizenship in thc Statc of Florida that 1 am Cling this d8y in
accordance, and in conformity with Section 222.1 T, Florida Statutes. ~
~
1 was Cormerly a legal resident of . A~uR _ ~ee Q 9~ A and I
(Ci~r) ( ~te)
resided at 0 3 G A~ t[ N R ~ ~ d G . However, 1 have changed my domicile to
(Street and Number) ~ Y r,
and am and have been a bona Gde resident of the State of ~lorida since ~ c~ay oi
A49 tI S'~' , 19~y and I reside at •3.~8 ~ E o~t ~.s~f ~r2 ~ v~
. (Stnet aad NumOer)
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oR-1' Sf a ei e , Sf ~C u c ic County, Florida,
(~~r) ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Fiorida.
(isuett Aere snr perHneat iscts, sueh as sale ot pwpertr or businas. or relinquahmeot ot emplorment at toimet
' domie~e, temoval ot family to new domicile. purchs:e ot howe. ete.)
ENTERING CHILDREN IN SCHOOL: HOMESTEAD EXEMPTION: a
~
If entering children in school,
please list their names: - ~9~1
l~ I M m R R~ l°, Nl°. ~ n'1 tI S: _ " FIIEU AvD ~ECOApEO
ST. LU~IC CQUNTY FLA.
! CL R~CCt(;CUIT COURT
~on1N A ~ou ~ Se_ ~G L. rn N S
RFC'+=rn v~-~F~EO~~
Au~ I9 12 Zi PN 'T~I ~
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with aU other requirements of a legal resi8ent of this State.
1 FURTH~R CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
i~ -
~R.R~,,,,, 5~=~ u C 1 C. ST. LUCIE ~ , County,
Fl~brida,,~sedt~~~tet~tlj+. (c+tr)
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SwO~rri ta'~nd subscribed before me this ~ 9 day of
~u ~A.D. 19~4__. •
ROGER P~ CLERK CIR . i .ot7RT , Florida
7~~-~ .~cx-l~t.~ De ut C 1 e rk
BY C P Y
~ ~ QOOK ~~?JlJ PAGt ~0~,
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