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HomeMy WebLinkAbout1610 ~3e~;~~~~~ic~~ ~o l3o~rric~~~ Ci~iw~n:~~~ ; '2993~~ i "IO'I'lll: S"I~A'l~l~ ANl)('UUN7~1''1'AX ASSt~.SSUIt, S'r. LUCII: - ('UUN'1'Y, f~LOIZIUA: Tl~is is my ~Irrlar:itioi~ c~f Ucmiicilr anil Citizcnship in th~ Statc uf I~loridc~ thai i am filing this day in .i~cunlai~rc. .I11(I 111 COI1~0!llUly \Y11I1 SCCUOII ''''?.17, t~lorida Statutr.s. 1 a•as fc~rnicrly a Irgal rc~idcnt of ~ and I - ~ (Ci1r) (Slate) ; rr.idrd at _ --l.~ - - Howrvrr, ! havc chanbed my domicilc to ~ %7j=-=- - (Slrect auJ Numbcr) 7 ~ illll~ :1111 ~11(1 ~1.IYl` U~cu a ii~~~i.~ iiu~• ic~iCi~ii: U~ l~ll` St~ItC O~ ~~lorida SIl1CC (~~Y O~ ~ - , 19_~7--, an~ 1 n•sidr at at-_ _~l0 ~ _ • (Strect aod NumMr) St. LuciE ..~GP.~4,s~~_ - • - - County, Florida, (cti~r) . : nd this statcmcnt is to~hc takcn ac my dcclaration of citizci~ship, actua) Icgal rrsidcncc and domicilc in thc Statc ui Flarida. . (Insrri here any pertin.nt fact,, such as ~.~Ir uf pruperly or busiu.ss, ur relin.~uishment of employment at former do~uicilc, rrmocal ul family lo nc~v domicitr. purcl~ace of homr. rlc.) E~~ CCRI~~IG CNILDitEr: IPZ SC1i00L: ~ HOMES'TEAD EXLr1PTIU`:: Tf entering chilciren in school, ~lease Iis~ their nar~.es: , t a 5 i 299~385 - FILEO ~v: FECt3RDE0 ST. ~UCi+ „pUr~Tr FLA. ~ R{~ :r - t?I'RAS ClES±~ , ;i ~ COURT RFC~~-. , ; .;F~_i ` ^ ~ i - ~1ar+ 16 !1 t3 PH ~ ~ ~ ; , . ; ~ ~ ~ ~ ~ z - ~ ; t ~ ~ ~ 1 HURT~If:R Cf:RTUY th~it 1 will re,~islrr at my local address ~vhen thc registration Uooks rcopen, and ~ ~ comply ~vith all othcr rrq!~iremrnts ot~ a Icga) ms:~lc~nt c,f this Statr. ~ ~ 1 FURTlII:R CI:RT1f=Y that t h:+~•c no intcntion to return to my forn~er domicile, anc~ 1 intend to remain in j ~ ~ ST . LUCI~ ~ ' ~ ~ ' -j~~~GPr~-t'-? - - --____t~- • - Cbzint~-, ; y }=1on~1;~~.pkrmaricntly. ~c''''~ ~ ~ ; ~ ~ o . ~ ~ - - ~~-N ~T r~~+~~j' r~'-~------ - ~ ' - K r ~ 1 V~~ 1 l.J~l.:~ '.I , •-F' ~ . ! ~ _ . . ~ _ . ~ " . = S ICsI~~? l U~l. . . ~L / ~ ~-Sdc~ ~ wt ~snixc:rihcd bcforr ~2:r thi~ ~.~0._ day of ~ . Z ~ ~ - - . A.n. - ~ ~ ~ ~1~1 111~ c re S s , ~ OGL•'1? POZTh:i. , C11;R}: ~~U1T COLIZT ~ Florida ~ , ~ ~ j3y? a~~~ ..:plit)' C':>2'~,. . _ . _ . . ~ ~ ' `t ( f ~•cu1rJ in • h~ ~h• ~nd uriFin ~1 r . ~ ilh l'li•r{. ('ircu~t : • t. anJ duplaalr ~r~lh Tax As~ecsW ) ~ ~ : _ ; ~ _ _ . _ . . . . . . v4~.~7 . _