HomeMy WebLinkAbout0682 Declara~inn of Dt~micile and Citizensll~p
.
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE CpV~y, FLORIDA:
'I~is is my de~laration of Domicile and C'itiunship in the State of Flaidi dnt i am ~ tba dhr i~
accordance. and in vonformity with Section 222.17, Florida Statutes. ~
. ~
l wss formerly a legal resident of ~ ~ E' 1Q- . ~ i
c ~
resided at ~.~.._~~.l~ . Ho~, 1 haK chao~ed nU? dovic~ ~u
t~...~ .ee w.,e.rj
and am and have been a bona ttde r~sident of the State of Florida wnae d~f ~
-,-19~.-. and I reside at S, Fe c~+e f~a-, y i~t_
c~..~~.. N~-
•~i
e r~c~ St . Lucie tlomt~r, Floada,
tour) .
and this statement is to be taken as my declaration of citizenship, actuai le~al resideuoe sad do~ic3e m the ~e
of Ftorida.
(ua~M Mre anr v~cMest taets. wch ss saa ot propatr a swi~as. or ~ at ~s~
danie~. teworal of [aa~ily to aew domk~le. VircA»~ of LoaR ett.) -
• H~SIEAD E~?IQN: ~
ENTERING CHILDREN IN SCHOOL. ~ _
If entering children in school, _ _
please list their names:
~r 1r~PCr~ t' A 1?n Q V e V1 R 1 V1_S . -
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~ .
i1LE0 l~N~ REC~
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~A
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~ . REC~
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~ oCt ~ ~ 39
. ~99~~85
"I FURTHER CERTIFY that I will register at my loeal address when the ~istrati~ booics i+eope+~. aad
comply with all other requirements of a le~al resident of this State.
I FURTHER CERTIFY that I have no intention io return to my former domicik, and I int~rd to r~in i~
C~~ t P vr . ST. I~JCIE _ Co~ah?,
Florida, permanently. -
~ ~
. SICd~1A1UBE
Sworn to and subscribed before me this ayL. day of
~r CL . , A.D: 19 74 ~ _ ~-~P~ ~vn.'~
ROGER POITRAS CLE CIRCUIT COURT . , Florida
_ ~ ,
g Deputy Clerk
(ro st xecaeed is aupucste.ea o~i;i~a~ Glca witA aerk eirerit e.ortt..ws a.rliale.~ Ts[ Ase..r)
. . . ~ e00K~_PN6f . ~ ' ,~--c: . .
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