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HomeMy WebLinkAbout1103 ~~~~~~a~~~n c~~ l~or~n~Gil~ a~d Citi~~~~h~~ ~ ~ ~ zss~ss ' "JU Tilt: S'lA7 t: A\1) t'U11NTY 7'AX ASSCSSnIt, ST. 1.UCYE - ~UUNTY, t~L(~itli~A: ~ t Thi~ is my dccl:~r~tioiz of t)omicil~• .+nd ('itirr~iship in ihc Statc c~f Florida ihat 1 am filing this day in = ~1 .i~~.~~nianc:. :u~d in c~~nlurmiiy w~ith Section 222.17, Fiorida Statutcs. • • 1 l was formcrly a lcgai rc~idrnt ot~~ ~ f~C/~ • and l . - ~i~y~ (Slste) r~~ided at _f~Q .~~~~CJde~-~L~_~°' Hov~•evcr, 1 havc changrd my domicilc ta (Strect and NumMr) and am :~~icl h.ivc brrn a bana fiJc: rcsidcnt of ihc Statc or r•iori~~ sincc ~ ay oi' ~l1 ve'~~~~'J' .xncl 1 residc at _lS~(J QU-e. - ~ _ (St~cel anJ Numbcr) , ~ Lucie ~j_r~-~ .~i e /'CC~.: . st • . county; Floricia, ' (ci~Y) ~:~~d tl~is state+ne~~t i~ to bc taken as ~ny dcclaration of citizcnship, actual legal residence and domicile in tiee Statc . ~~f i~!oricla. r - (lnscr~ herr any p.rtioen! t'acis, such u s.~le ot ptu{+crty or businect, o~ ~elinquishment of tmplo)ment at formr~ domicile, rrmo~al .~f (amily to ~cw domicilc, purchasc uf h~~nic, r!c J '+T~ ` I.~R~*= Tr1 SCNO~L: iiOMESTEAD EYEMPTZO':'~; ~I. E~i,~RI~tG CIiI ~ . If enteri ng cl~ildren in school,_ . p;_~ ase 1 is~ the ir name s: ~~~85 e til ~ ~Q u ~ Je--- _ . ~i~ ~o?~ p~p . -2 ~ I~r' ~Pc~~~ a~~fY /f~ f ~I`s ~sw ~fRR ~,:~Gws nw;~.- ~~//q l~IS~~~ ~ L, riRifl~p ~ 9 11 ss Py ~T~ ~ . ..~p-~'' - ~y, ~ . t . f ~ ~ ! - i - I FURTttER CERTIrI' that I wil! rcrister at n~y local address when thc rcgistration books rcopen, and comply ~vith ai! oth~r requiremcnts af a 1~_ea! r.sid~nt of this Stat~. 1 FtiR1'fif:R CfR'I'IFY tha: I ha~•c no intcntion to rcturn to my fanncr domicile, and I intcnd to rcmain in Q S'T . I.L' C Ii. ~_r~ _~~.~CG_q~__-- , Counly, l~iQricla; ~ier~tia~l~d?Uy. ~c-'"•~ u.~ ~ i~ ~ '~~(;V~~ Z.• ~G(/~ , ~ ~ . ~C:I~ ' r ~ . ' ~~~C~~ " _ ..~-L . J~;t,.-p~°4.,p ~ ' _ ' , - ' -~v~~~~---- '~i t i G:J' t,~. ,,:~;:•~+,iQ~ 4_ _:r. . ' . ~ ~ ~~fi:: r~., m~ . - , ~ ~ f~Y G,~ t ~Y:-~:-Q, ~t; . - SI~:~t~TURE . _..~:=~,z•::': ~ ~ ' -I a.F! ' : :l ~ . J+ : . E G~ . n:i „~ii ~'~ied h~t'c!c mc this ~IaY ~f ~ ~ C ~ c ~ b.p.c~ 74 A.I). 1 - . . _ . . . 1~{tlll 1ll~i ~:J . ItOGrR Pr~I`i'IZAS , CI.CRK C7 RCUI'?' COtI;t'~' Flori c~a _ - - ~ ! t ~ ? ~j~ Dep»ty Cl.erk . ~ y ~ , (1'o M rx~•rutcQ in Ju~~l~.alr :ni~ uti}:a~:il fdrd ~+ith l'le~k C'vcuil ('ourl. and Juplicalc wilb 'fax Asx'ssot) OR ~ s~aK 234 ~~~1~p3 _ . _ . ~.v s ~ ~a _ _ _ _ _ _ ~ ~