HomeMy WebLinkAbout0232 DecEaratian af Dorni~iie and ~itizenship
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'I~U ~'1lE STATE AI~1) COUN1'Y TAX ASSi:SSOR, ,`~$~"~5~ ~
ST. LUCIE Cp~sNTY, FLORIDA: ~
This is my dcclar:ition of Uomicilc and Citir.cnslti~~ in the Statc of Florida that l am filing this day in
accordance, and in conforniity with Section 2~2.17, Florida Statutcs. ~ _
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G /eA+~I~eG and 1 R
1 was formerly a icgal resident.oC --~,~r~s'
(citr) ~ (State)
residcd at 13s s.~~s C~S-e% , Nowevcr, I have changed my domicite to
(Strset snd Number)
and am and have be~n a bona fide resident of the State of Florida since day of
, 19~~, and 1 reside at F~ g~~ ~ •
(Suect and Number)
.ST. ~C u ~ , ~7'"' ~.s~~. l ~ - County, Florida,
(c.ti~r)
and this statetinent is to be taken as my declaration of citizensl~ip, actual legal residence and domicile in the State
of Florida.
(inscrt Aete sny pcttinent fxts, such u sak of propettr or business, o~ tNinquishmeat o[ emplorment at tormet
domic8e. remo~sl of familY to new domicile, purchsse o! home, ctc.)
ENTERING CHILDREN IN SCHOOL: ~ HOMESTEAD EXEMPT~,ON: a
If entering children in school,
please list their names:
.~.vN 1~~ u ' :
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,
~re~_l~~ ;
' ~,v •
FtIEG a~~~ -:~.u;c,~EO S
ST.LUC.: .:LYf1' F~A, 0~
R'_!;: (•~ifi~s i
CIE; ! r = ' ~111 COURT j
I Pc(~n-. _ y: : j: ~.r„~
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! AUG Z I Z OS PH'1~1 ~
283'758
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I FURTHER CERTiFY that I will~ register at my local address when the registration books reopen, and
:.omply with all other requirements of a legal residerit of this State.
I FURTHER CERTIFY that I have no intention to~rett~rn to my former domicile, and I intend to remain in
~ r,7~ s.T ~C C ST . LUC IE , County,
Florida, permanently. ~~''r~
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SwQ~i t~ and seb~~~~before me this ~ day of
~ . - ?~.S" iY~~a.f, ~_/QT~.d.•. ;
' A. D. 19 7~~ `
~ ~ ~ Florida
kOGE1t~ PO cn~iRT ~7'" S~: 4~: e ~
By . ~ Deputy Clerk ~
~ooK 2'~3~ 2~2 • ~ :
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