HomeMy WebLinkAbout2875 Declaratinn af Damicile and Ci~iz~n~hip
"I'U "1711: STA~~1: Aivl) C'UUn'fY 7'AX ASSI:SSUIt, `3~O ~
ST. _LUC~E - cuu;v'I'Y, LUR! UA: ~
Tt~is is my drelaraliun Uf Domicilc ancl Citiicnship in thc Statr. of ~lorida Uiai I am filin~ this day in
arcurJ:ii~c~, ai~d in conli?rntity ~vith Scctio» ''22. t?, ~~~rida Statutcs. .
- 1 was for~uerly .i lrgal resiclent af __~sfL~l
~.~~~0~
L .-/l~~~'~ - and 1
~c~~y) ts~~~~~
residcd :it ~Mw~~~-_ e' . tiowever, 1 have changed my domiciic to _
(Sl~ret and Numbrr)
and am and havc bccn ~ bona fidc nsiJcnt of the Statc of rlorida since ~ r"~ day ot'
_ VA rV4A , 19~ ancl 1 residc at O S'E~wN ~~r(~,
~ (Street and Numbrr)
_ ~~c,QC?E _ , St. Lucie County, Florida,
(c~~~ ) . .
and this statement is to be tak~n as m~~ declaration of citizenship, actual legal residence and domicilc in the State ~
ol l~iorid~.
(Inseri here an~~ prrlinent facts, sucT as sale of proprrly ot business, or relinyuuhment of employment at fornier
domicile, rrmotia) of fam~~y to ne~v dumicile, purchasr uf home, etc.)
Er~'r~RT*<G CHILDREt1 I11 SCHOOL: HOMES'TEAD EXETIPTIO"I: ~
If entering children in school, ~ ~
please list their names:
~
FIlEO AliO RECORDEO
St.IUCIE COUNT~ fl'A.
ROCf R POITIIAE
_ CLERK CtRCU1T COURT
RECORD VER1rlEO
Jiw 19 2 os PM'zS
i ~ 300410
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~ 1 FURTHI:R CERTfFY that I will register at my local address whcn the registration books reopen, and ~
~ com~~ly ~vith all athcr rrqt~irements of a le~al resident of this Statc.
~ l FURT1Il:R CERTII=Y that 1 ha~•e no intention to return to m~~ tormer domicile, and 1 intend to rrmain in
~ -~7~ :Q C ~ - ST . LUCI~ , County,
~ Florida. ncrmanrntly. (c'`y) , So hN ~ 5 ~
~
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~ ~3w~~~~, fo and sul~cr',~~ bcforr mr thi~ _ day of
~ = ~t ~ ` ` y ~ ~ ri ~,4~ ~ ~ 7J'
~ ~ ~ ` - - A. l). 19- -
6~-Y; "'~~a i i j~g re s s
~ ~ ~A CLEHK ~TRCUIT C~~I2T Florida
~ ~''it~...,.
~ IIy ~.v neputy Clerl;
~ ~
~ (To bc cxeculcJ in duph; a1c and nripinal filyd ~'h 1'Irrk Ci~cuil ('nutl, an!1 duplir~:e wilh Tax Aa~rssur) ~
~ soo~~ P~2874 ~ ~
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