HomeMy WebLinkAbout1815 - ' ' nd ~it~zenshi ~ ~ ~
Declarat~on af Domic~te a p E 1~
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1'U THE STATL:IINU CaUNTY TAX ASSL'SSOR, ~p844 ~f ~
_ ST . LUCIE COUNTY, rLORlDA: ;
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Tt~i~ is my dcclaration of Domicitc and Citircnship in thc Statc of I~lorida that l am filing this dsy in
~ccordance. and in conformity with S~'c~~on 222.17, Florida Statutcs.
.
~ir.zr~a.f u~~~ ~ and I
1 was formerly a Icbal residcnt of •
L~~- . HowevGr. I have changed my domic4le to '
residcd :et '
~ (St~est and Num~Z
and am and hav~ bccn a bona fide msident of the State of Floricla since ~~~"j~ day of
~t-ryr 19_~~, and I reside at ~30 ~~~'L!~~~~ -
- / ~ ~ GLE^ l~
`t~ NumOer)
v . COUtit~l, FlOfla~,
(Cit -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Insert here anr pertinznt fxts, such u sale ot propertr or busi~ess. o~ reliaquis!?ment of emplorment at fotmet
' domic~e. temoval of (amilr to new domicile, purchast of Aome, etc.) :
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E'1TERI":G CHILDREN IN SCHOOL: ~ NOMESTEAD EXErIPTION: a
If entering children in school,
please list t~ ir names:
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I FURTHER CERIIFY that I will register at my ia:al address when the registration books reopen, and
~ comply with all other requirements ~f a legal resident of this State.
I Fj,~RTHER CERTIFY that t have no intention to return to mp former domicile, and 1 intend to remain in
- ~ - ST . LUCIE , County,
Florida,,R~rmanently. ~ ~tc~~r~
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~Sw• ~oanf ~~utiscri5ed before me this ~ day of ' ~ _ ~
' ~ _ ~D ~ ~ - ~-'E~' -
A.D.19~_. ~ ~ Z~ ' ~
~ ~ u , Florida
ROGER POT'rRA.g,, CLERK CIRC ILLT CQIIB~ -
gy j~~~l.~Fi Tv vc~c ~ Deputy Clerk •
~ go~ 231 1813 -
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