HomeMy WebLinkAbout0231 Declaration of D~micile and Citizenship '
TO THE STATE AND COUNTY TAX ASSESSOR, ~~36
ST. LUCIE CptJ~y, FLORIDA:
'11~is is my declaration of Domicile and"Citizenship in the State of Florida that I am filing this day in
accordance, and in confotmity with Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~a~ ~ C•~c K , and I
(Citr) (~~t•
resided at a a o G~- o d~ ti n . How~ver, I have changed my domicile to
esa.sc .sa umbe.) ~ . ~
and am and have been a bona fide resident of the State of Florida~since ~S day of
U G l o~ r , 19~~, and I reside at ~'y~ ~ ~ 41~ a . -
~ tsa.e~ .pa N~~e~)
~~T a:'c ~c ~ St. Lucie County, Florida,
(tser)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. -
(lroett here anr pertioeat fscts. such ss sale ot pwpertf o~ b~• p~linqui~hment ot emploY~~?t st tormsr
domkile. removal ot tuailr to new domicile. Pa+chase ot hoa?e. ete.) ~
~ . ~HOMESTEAD EXEMPTION: - ~
ENTERING CHILDREN IN SCHOOL.. .
If entering children in school,
please list their names: - ~
C~a~ ~ro.,~c.
.,j~/1 ll, r K S Ta ~C-~ v ~ lt ~ :
~
c cow
n°~ ~
so~~~ Fa~~s
CifRX C:~~Ui7COtIRT =
• Rc~pR~ ~£Rtf1Ep
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,
~I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FURTHER CERT[FY that I have no intention to return to my former domicile, and I intend to remain in ~
~ ~ ST. LUCIE County,
T, F~ c ~ c. -Qr - ,
Fiorida, permanently. «'t''~ STaN~C E V~ h~
~
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~/•r~/jl . Ji
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_ ~ . ~ . S IGNATtTRE
• ti • •b, . ..-~A ~
• ~ •
9~3r~t t~ ~~d
s.~~1~c~ before me this ~ day of
.-r
~ _ 74
. , . , _ A.D. 19 - -
: ~ ~ • ~l~fd'iTi
g r
,tn
i -i :
. ~ S CLERK IRCUIT COURT , Florida
ea.. • -
gy ~ ~ ~ Deputy Clerk _ ~
(To M e: t in duplisale ~nd oti6inal filed with (.7erk Citcuit Court, snd duplic~le with Tuc Asfeasw)
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