HomeMy WebLinkAbout2829 Dectaration of Domicile and Citizenship ~
'PO THE STATE AND COUNTY TAX ASSESSOR, `~36a~
ST. LUCIE CO1JN'Iy~ FLORIDA:
Ttiis is my dcclaration of Domicile and Citizenship in the Statc of Florida that I am filing this day in -
acoondana, and in oonfornuty wiW Section 222.17, Florida Statutes.
Wc~~ormerly a legal resident of 1-AS ~F~A S , NE'VADA and ~ I~t~;
_ - ~aa~ csaa)odR
resided at ?30 C~AK~+ou~vT .dv~ ~j1L . However~have changed a~y domicile to
~ tsa..e ~a~i.,.e.r)
and" ii~+r and have bcen a bona fide resident of the State of Florida sincx 30 r~ day of
SEP7'~R~i2 , I9-~-, and I reside at 7 s. E V~/aA0/4 ~Ou~~v~c .
~ , ~sae.~..a N~m~er~
~~QT S7',,,., L uc,c st. Lucie ~ County, Florida,
(cur) ~
and this statement is to be taken as my declaration of citizenship, actual legal r~sidence and domicile in the State
of Florida. .
(iasert ~we aar pKtg~eat facts, weA as sak of proputr ar busineu, or relinauisUa~ent of smpiormeat st tormer
- dosieis, ~e+aovai ot taa?ilr to oew domicile. purNu~ oi hane. etc.)
ENTERING CHILDREN IN SCHOOL: HOI~STEAD EXEMPTION:
If entering children~in school, ~ ~
please list their nsmes:
- =T~IUC E COUNTY F~ •
CIERK
CI~CUJT OURt
RECORO YER?f~EO
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I FURTHER CERTIFY that •i will register at my local address when ihe registration books reopen, and
comply with all 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
~p~- ST, L U~ ~ E ~ ST. LUCIE , County,
Florida, permanendy. ~c'`r~
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~ ~ • ~ ~h•`~~ ~ ~ - , S IGNATURE
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Swqra tQ:.~ sub ,~~_'before me this ~ day of
: ' ; :
~ A.D. 19 74 ~3 S, E rR. D E
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RQ~ CLE CIRCUIT COURT ~ ~R~r ~uc , Florida 3`3`~a_
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gy Deputy Clerk
(To :eented ia duplicate ~wd ori~inal tiled with Ck~k Circuit Court, ~nd duplicate witb Tsz Aueuot)
C~OK PA~iE~V~V
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