HomeMy WebLinkAbout1459 ' of Damicile and Citizenshi ~ ~
Deciarat~on p
TO THE STATE AND COUNTY TAX ASSESSOR,
$T. LUCIE CpV~y~ FLORiDA:
1hh is my declaration af Domicilc and C'Itiunst?ip in the Stata of Ftorids that I am ttltng this day in .
accordance, and in conformity with Section ~2Z.17, Florida Statutea. ~
i wss formerly a legal resident of ~'y~'"d I
~ tr) (sua)
resided ~t ~`~v9 ~~~~J~ ~ . However, 1 have d~angod my domicile to
~~.se ~.a N~eK)
and am and have boen a bona fide resident of the . State of Florida sin~x ~ day of
~v~h=/~~~ , 19~~ and I reside at 7/v `
~ (str«t a.a bwsber)
~i ~ ~~i~. St . L~uc ie County, Florida,
• (~r) .
and this statement is to tie taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
~Luat hu. wr v.~tine.e tacts. wce as sN. ot pron.rtr « eu~inas. er nlinquwment ot NaplorAau st tona~
dquicW. remo.st ot taadly to s~w domkiN. p~ of Aom~. ete.)
. ~ - . HOI~STEAD EXEMPTION: -
ENTERING CHILDREN IN SCHOOL. , _
If enterir~g children in school, 4-=-~
please list their names: .
c _T A,~J ~/,:~R~,~~ -~9Cd?~.P~ ~ -
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. 29~393 -
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with aii other requirements of a legal resident of th~s State. ~ -
I FURTHER CERTIFY that I have no intention to return to my fonner domicile, and~ I intend to rema.in in ~
ST. LUCIE County,
f •P ~ ; ,
Florid~y
.~,rm~(~a~a~~r~tly ~~t''~ ~
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~ ~ SIGNATURE
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Sworn t4~~s~t.~rlbed before me this _L.- day of
,
„~~~~CJt/ 74 _
, A.D. 19 g r
ROGER POITRAS, CLERK CIRCUIT COURT , Florida
gy ~,C~,L Deputy Clerk : .
(To A~ executed in duplic~te snd ori~insi ficd witb Clak Circ~it Coutt. ~nd duplkat~ with T~
~ . . ~?~.~1~57 ~ ~ F:.. ~ ~
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