HomeMy WebLinkAbout1505 Declaration of Do~nicile and ~itiz~nship ; ;
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7'O THG STATC ANU CQUNTY TAX ASSCSSOR,
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ST. LUCIE _~pUNTY, FLORIUA: "
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This is my declaration of Domicilr and Citizcnsl~ip in the Statc of Flo~ida that 1 am filing this day in
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accordanc~, and in conforn~ity with Scction 222.17, Florida Statutcs.
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1 was formcrly a lcgal r~~sidcnt of ~~~o~ r ,
_ (ciir) (St.ee)
r~sidcd at 73g~ ~AwA'v~A ~R~~ ~G~ Howcver, I have changed my domicile to
(Stttet and Number)
and am and have bccn a bona fde resident of the State of Florida since ~ day of
S£ 7~ , 19 fT and ! residc at ~~v~'F~~~'E
- (Street and NumOer)
~~r ST ~ !JC'~~ County, Florida,
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(cti~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(loserl here any pc~tinrnt tacts, such u sale of property or Ausiness, or relinquishment of emplorment at [otmer
domicile, remoYal ot familr to new domicJe, purchax of home, etc.)
E!VTERI"IG CHILDRE*J IN SCHOOL: HOMESTEAD EXEMPTION: ~ ~
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If enterirg children in school,
please list their names:
~ FP~ A ~tl~c1 ~i~
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~A~ i E L CE£ exuac c~~cu~t aa~rt ~
R~co~o rERiflFO
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1 FURTHER CERTIFY that I will register at my tocal address when the registration books reopen, and _
comply with ail other requirements of a legal resident of this State. _
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
~Q T- ~Lc-~C~ ST. LUCIE , County,
Florida, permanently. (~'~r1
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Sv+iqr~ to
and subs~i~ed before me this ~ day of -
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,•`~-i- ..b.•- tot~:'
s : ~ A.D. 19~~. - ~
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ROGEI~l~~P0~1'RAS, CLE • ~ , Florida ~
gy ~ Deputy Clerk
~ BOOK Pi1LE
~ R ~i ~503 ~
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