HomeMy WebLinkAbout0234 . . . •
Declaration of Domicile and Citizensh~p
. .
TO THE STATE ANU COUNTY TAX ASSESSOR, 2~~$~5
ST. LUCIE ~pU~y, FLORIDA:
' m declaratton of Domicile and Citizenship in the State of Florida that I am filing this day in
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accordance, and in conformity with Section 222. i 7, Ftorida Statutes.
~ ~o~ ~ and I
1 was formerly a legal resident of taer)
~~h R~,~s~, r• . However, I have chan8ed my domicile to
resided at -~S~.,~ N„~~~
0 day of
and am and have been a 1bona fide ~ resident of the State of Florida since '
-c ~ ~ . ~
1 g_
; and 1 reside at
, (gte+~t ~aA Numbar)
r ~,'L St. Lucie County, Florida,
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the tate
of Ftorida.
(lasttt hua ahy Ve~t~^ent hcts. sutl~ ss sale of pmpa~Y Kli°quisAmeet ot smployme~t at totmet
~Kie. ~emoval ot fau~ilr to aew domicile. PurcAsx of home. ete.)
HOMESTEAD EXEMPTION:
ENTERING CHILh~aren inHschool, ~
If entering
please list their.namess
r~ ~ ~ ~
- iT IIKaE ~CO
IT1f~
tOCER PO1~RA5 `
~IER[ C1kGWT COtMt - ~
~lEtORD V~s~j~EO
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I FURTHER CERTIFY that I will register att of th't~,s Slta ea~~ When the registration books reopen, and
comply with all other requirements of a legal residen
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
ST. LUCIE County,
,
i :~.^1 .
Florida, ermanently. (c~tr)
~ -
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~ . v~~., , SIGNA'TI1RE
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9' orri Lb d sr,~bsci~ied before me this ~ daY ° ` ~ f
- , ~j ;.q~ 74 v ' ~ ~ 5~~~ 2'
_ A.D.19 - g z
~ ~ ~ : ~w , Florida ~
gp~£ . •~b~i ~RAS CIERK CIRCUIT COURT ~
~ -
B~ Deputy Clerk
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_ (To M exeeuted in duplicstt ~nd ori~inal filed wlth Cietk Circuit Cou~t. ~nd duplk~b with T~s Ausssa) ;
5 °~R ~`~2 2 ~4 ~
~ 600x PAGE •
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