HomeMy WebLinkAbout0944 Declaration of Domicile and Citizen~hip ~
TO THE STATE AND COUNTY TAX ASS6SSOR, , •
ST. LUCIE CpjJ~y~ FLORlDA:
.This is my declaratio~ of Domicilc and Citizenship in thc State of Florida that I am tlling this day in
ac~ordance, and in- oonformlty with Section 222.1 Florida Statutes.
1 was formerly a legal resident of TAM~ 1 C~~ ~ , and I
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resided at ~O~ B ~20 ?n E c ~as ~ ~C3~w . However, I have changed my domicitc to
csas~e..e Numt«)
and am and have been a bona tide resident of the State. of Ftorida since ~ f~ ~ day of
N~ E~~ , 19~-s and 1 reside at 8 q 8 3 U12 2~ ~ ~3 T/~ E Lc T
( • , (Stn~t aad Nuwbet)
Pfi'. , Sf: ~(,1 C 1~ , S t. Luc ie ~ County, Florida, .
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and this statement is .to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. _
. (i~aert 6ere aay pertiasaf tacts. sucA ss sale of prope~tr or M~u. a rNlnqui~ment ot ernploymeat at to~ma
~ domk~le. temo~sl o! familr to aew domkile. PutMase of ome, ste.)
ENTERING CNILDREN IN SCHOOL: ~HOMESTEAD EXEMPTION:
If entering children in school, ' _
please list their names:
.~IY~~L'.._ DLLt~1~ ~ - ~ .
~~1pTH H~LL/41~
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st uc~ ~nr"'~~'i.
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- a~ c;wswt ca~t
IIEGOiti ~ir"!EO
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1 FURTHER CERTIFY that I witl 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 CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
~ S~• LUC I~ ~ ST. LUCIE , County,
Florida, permanently. ec~~r) -
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,3~,;.;..,.;~~_ GNATURE
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SwQtn''to:~~tibs~r~t¢ before me this ~ay of
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BI.~B~;,P4I?R~-- CIRCUIT COURT Florida
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By .•<~~=r.i.:• ~Deputy Clerk . ~
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.flf+~/as _ i. . . ' . "
' (To b~ eseeuted in dupiieate and ori~insl filed with Ckrk Cireuit Court. ~nd duplicate rvilh Tu Asfes~or)
. s~ 234 ~E 944 ~ ~ ,
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