HomeMy WebLinkAbout0953 DecEaration of Domicile and Citrzensnip ~
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TO THE STATE AND COUNTY TAX ASSESSOR, zc3~~~,5 +
ST. LUCIE ~ Cp~Ty~ FLORIDA: '
This is my declaration of Domicile and Citizcnship in the 5tate of Flo~zur~ that I am filing this ~r'~ ~
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acoordance, and in conformity with Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~~S G~yv'Q '~/'e '
fy~., T~ 1 fQa~y~ ~ F
~w~ . ~w~7~ . \w~~ f
resided at 3 ~ 7 ~A'e ~'e l _ _ . However, I =have changed my domici! . _ _ ~ #
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and am and have been a bona fide nsident of the State of Florida r~ t~ce ~ da~ :
~ 192~, and 1 reside at ~~'D6 E'. ~S'~divS~Y~~E ~vC
~ (S~, ,oa Nwoe.r)
.,j'o• 1~02 i~'T. .~v c ~c St . Lucie Couniy,~Floi . ~
~ (atY) - ~ ~
and this statement is to be taken as my declaration of citizenship, actual legal resid~nce and domicile in the r'- ~
of Florida. "
~tasen t~ae awr n~~: taets. we~ ~.a~e ot ~ope~cr « bus~. « muoyu~uaeae ot rmaormeni a~ to~ms~ ~
dwsie~e. removai oI iamily to aew domic~le. Purchass ot Aane. etc.)
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ENTERING CHILDREN IN SCHOOL: ~ HOMES~'EAD EXEMPTION.
If entering children in school,
p~.ease list their names S f lE0 AND RECpROEp
S~. WCIE COllNT1r fLA. -
ROCER POtTRAS
~ CIERK Ct~CU1T COURT
RECORO 'IERIFlEO~.,.~~~
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I FURTHER CERTIFY that I will register at my local address when the r~gistration books reop• r~ t
comply with all ather requirements of a legal resident of this State.
_ I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to re-n
/~o~a7' ...I'T, ~ v ~ i~ ST. LUCIE ,(:o. .
Florida, permanently. ~ .
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.x: = S IGNATURE
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S' ~ t,~r d su ~efore me this . ~--rday of ~
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: -y ~~ti` s'" . .
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_ n,,~.~,'., ; f . , g res
R S' ~ CIE CIRCUIT COURT , Flo~
t~:c~e. -
•;~i • •
gy Deputy Clerk .
Rp be a~ted tn duplicate snd o~i`insl t"itd with Getk C'vcuit Court. rnd duplicste wiah Taa As~eMOt) ,
p n .a
~ 600x ~~t7 PAGE_. a ~ ~
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