HomeMy WebLinkAbout1159 Dect~ration af D~or~~ci~e and Cifiizen~~;ip
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"f0 Tli[: STATG Ai~l) CUUN1'1' '1'AX ASSt~.SSOR,
ST. LUCIE LOUN7'Y, 1=LURlUA:
71iis is my drelaration of Uomicilc and Citi•r.cnship it~ thc Statc of rlori~la Ihat I am filing this day in
accorttance, and in conformily with Scction ~"_'2.17, Florida Statutc-s.
I was fanncrly a Ic~;:~l residcnt of ____~.~~T-.- - `~~s~T and 1
(City) (Slate)
residcd at ___.._~_~U-_sAl~-.~lf-~?$~-~-.-- . Howcvcr, 1 have changcd my domicilc to
(5trret and Numbet) ~
and am and have txcn a bona tide nsident of the State ot' rlorida since 2-s day of
---~o ?~,M,~iE7Q,c-- , 19.2~ and 1 res;dc ac ,t~i~1~B y/ ~F! P~~~"_
(Sttert and Num~-
Jp~L-~G~/ _ St . Luc ie Ca~nty, Florida,
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. (c~~r)
and this staten~cnt is to Ue t3ken as my d~claration of citirenship, actual legal residence and domicile in the State
~r r•~or;~~.
(Insrr: here any {~rrlinent tacts, such u satr of pro{+crt)' ur husin.tis, or relinyuishment of employment at former
domicile, r~mu~~l uf (amily to ne~v damicilr, pur.hasr of home, rtc_) ~
F.i:TLRI"`G CHILDRF.?: IT1 SCI-i00L: HOMESTEAJ E?~I~SPT10?'': 1____
If enter~ing -children in school, ~
~
ple~se lis~ ~heir nanes:
~
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^ FILEO AND ~ECUROED - k
ST.LUCIE COUNTY flA. {
iiOGE~ POITRA5 ~
CtERK C+.:CUtT COURT ~ ~
RfCORO YE~=F1:0 .
j Ju~ 13 10 s2 AH'~5 -
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. ~~W
t FURTI~ER CERTIFY that f will re;~istcr at my loca) address whcn the rcgistration books reopen, and
comply~ ~vith all otiier rcquir~mrnts of a lcgal residcnt o}'this Statc.
I FURTHE:R CI;R =Y that I ha~•~ no intention to rcturn to tny forn~cr domicile, and I intrnd to rrmain ii}
~ ST . LUCI~ Count
Y-
- ~ - -
I~Dorida, i~crmanently. tc'~')
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~ '::,:t ~ ~0•..,,, SIGi~ATURE
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Sworn' q~~~i€~rili~J Uef~tc mc ti~is day of
, r 4. - ~ ~ G - ~ y '
~ ; h _ , - - /~.D. 19 ~ /
yy ' • 1 :_ilf~ C 1CS5
~ • ~ "pQ~~Ii~'~, CI.~RK C 1'~'t;I"t' COURT
_ , Floricla
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~ ,t~,,.t`
gy N e. Clerk , .
? (To be e~e ed in Ju{•1~ ff d f~lyd ~~ilh l'Icrk ('irauil ('uurl, anJ .tupluvfr aci~U Tnx Acccsxw) ~
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~ 60~~35 P~i158 , `
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