HomeMy WebLinkAbout0624 . . . . • • 1~ ~
Declarat:on of Domi~ile and Citizensh~p
TO TIiE S i ATE ANU COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIUA: ~
This is my declaration of Domicilc and Citizenship in thc State of Florida that 1 arn filing this day in
accordancc, and in conformity with Section 222.17, Florida Statutes.
. 1 was formerly a legal resident of -~-P~"'~"'~v , ' _ a~d I
((,1ilr) (State)
resided at ~Q~" ' . However, I have changed my domicile to
(sueec.na K~mee.)
and am a~nd have been a bona Gdc resid~nt of the State of Flodda since day of
, 19~ and I reside at ~ y~ • ~ ' .~11_~~ ~ -
csuK~.pa H~+e~)
, f f~ County; Florida,
-r-
(~tr) ~
and this statement is to be taken as my declaration of citizenship, actual legal r~-sid~nce and domicile in the State
of Florida. ~
(lasert Aere anr pertinent txis. sucA ss sale ot propertr or busiaess. or reliaquishmeat ot employment at tormer
doaaicBe. remorsl of tamilr to aew domicile. purchsse of 6ome. etc.)
ENTERING CHILDREN IN SCHOOL: D,. _HOMESTEAD EXEMPTION: ~
If entexing children_in school,
please list their names:
?
_ - ~~~E ~a ~ .
c~ERx C~ac~T
- RECORO YEk!~~ D.r~"'r
` ~ ~ ~
~
~ 2~pp4~ -
~
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ ST. LUCIE , County,
Florida; permanently. cc~tr)
~ . . ~ _ _
. ,
j ~ : , .
- = C . _
= g~}'3l~t~''t. ~G•.; •
. ; _~;~r~;~,,'~.. ~t
Y~:. f~EVE/2
• . . - - - ~
_ •,+,i r i- ~
, ~ : G.: .
_ -r`yZ~` O ' ~ ~j-'
_ ~ . ~ : y
. . It1• .r``_~
.~~io~~tti~~d~ribed before me this ~ day of A .
~ ~~~:;L•,,~...-1 i ` ~ ~ 'L ~ ~ y~
' '.~z'v'S+r_ ~ ~ ~ ~ ~ fr
A.D. 19~~.
. ,t. 1 >
~v-v` • l~~~ .
ROGER P ~CI.~BK~IBct~TT tR ' Florida
By Deputy Clerk -
- a~~, ?A~
. .
' f
- - - - - - - .s,r-.--.. *cs=~ -
~ ~~53 ~
~ l
~ . ~~~e _ _ - . ~