HomeMy WebLinkAbout0847 y, ;
;
Declaration ofi Qamic~l~ and Citizenship ~
.
, .
;
~
~ 2`~~.7'7 t ;
'1~0 TIIE STATE AND COUNTY TAX ASSESSOR~ ~
ST. LUCIE CpUNTY. FLORIDA:
'
This is my dcclaration of Domicilc and Citizcnship in the Statc of Florida that l am filing this day in
_
accordancc, and in conformity with Section 222.17, Florida Statutcs. ~
~ y'f.C'~
I was forn~crly a tcgai resident of ~:.~..o~
~~s "-J ' ~s«e~~ and 1
~s tnlr) t ~
resided at _~~~~i~~- However, 1 have changed my domicile to ~
(Strert and Numbe~) ~ ~a Of `
and am and have been a bona tide resident o[ the State of Florida since ~~i~--~- Y :
i
19~_~__, and 1 nside at d~~~- , s
- ~ i (St~eet and Number)
~ County, FZorida, : ~ ~
' St. Lucie
- ' (C;~r) ~ ~ 1
and this statement is to be iaken as my declaration of citizenship, actual legal nsid~nce and domicile in the Stat~
of Florida. ~
.
(Irts~rt here any pe~tinrnt fxts, sucA ss sale of property or busineu. or relinquis!?ment of employment at lormer
domic~le. temoval of familr td oew domicile, purchase of home, etc.) s
. HOMESTEAD EXEMPTION: ~
EN1'CRING CHILDREN IN SCHOOT.. s,
I f entering children in school, ~-s--1
please list their names:
c ~ , ~t
'
~
^ i~
L~IE COit
111rRflA. ~
! ROCER POITR.t= ~ • ;
Ct,ERt C1itCUlT CONItT
RECORO YERlFIED~.~
~ ~ ~1 SO ~'l~
i
. - . ;
~ -
~ ~
` l
~
. ;
- ~
~
~
_ ;
~
,
I FURTHEP. CERTIFY that 1 will register at my local address when the registration books teopen, and
comply with all other requirements of a legai resident of this State.
I FURTHER CERTiFY that I have no intention to return to my former domi~ile, and I intend to remain in ~
~yl . ST. LUCIE County,
T~T - '
Fiorida, permanently. t~nr)
- ~ " ~
- . ~
. ~~~'~~~n~~.~r~~~~ =:t~-
~••~.r t~f.~r: ~li:~'~~s~~d~
, L l~ ' ^ J
- ''v. ' " J ' $ IGNA
. ;
~ ~ .
g~~-- G~a~
~ ~ ~
;r _ r" rc . . ~i
: 7'
: . .
S~rn
~ta~d sµf~~t~bc,t~~fore me this ~ day of .
- - ~.~i- ` ~ 74 .
= : j{.; ~ . A.D. 19--.
• - ng ress
~':'`L a~:•~
gp;~: CLERK IRCUIT COURT , Florida
~ - , ,
,
gy ' DEputy Clerk ~
(To be es cd in duQlicate snd oriainal ficd r?ith Clerk Cirtuit Coutt. and duplicste with Tsx Auessor)
eooK 231 P~~ ~47 ~
.
_ ~~~~.~x { _ - - -
~ ~ ~ ~
r ~S~~a'
. .~_3.~,~", ~ _