HomeMy WebLinkAbout1909 . . . . . . /
Decl~ara~~o~ af Uom~cile ar~d Citizen~~~p ~ ~
;
~
"fO "!'lIL STA"fl: ANU C'OUNTI' "I~AX ASSI:SSUR, ~
89g
ST. LUCIF--- A---- --CUUN'fY, r1.URl1)A:
'll~i~ is m~~ drelaration of I)c~micilc and Citir.cntihip in thc Statc af l~lorida that I am ~ling this day in
accur~lancc, .uul in conl'urtnity with Scctian ''?2.17, rlorida Statut~s. ~
. ~
V'~^_ ,
1 was fonucrly a lcgal residcnt of , and 1
(('ily) ! -
r~sidrd ~it 1_ _ _ Howcvcr, 1 have changcd my domicilc to
(Strert and Number) -
and am and li:~~~c bccn a bona fidc resideni of thc Statc of Florida since day of
~ S~
- , 19~_`~_, and .l residr at __S~ 'N c~--~
, (Slreet and Numbc~)
_ _ _ , St . Lucie Count~~, Florida, _
~c~~r)
:~nd this statement is to be takrn as my declaralion of citizenship, actual legal residence and domicilc in the State -
of f~lorida.
(In.rri hrrr any ~~rrtincnl facts, such as s:~le of pruperty or business, ~~r relinquishment of employment at former
domicilr, ~cmo~at of family to new dumirile, purclux uf home, rlcJ
E'~'t'I:~Ii'G CHILllREiJ IN SCHOOL: NOMCSTEAD EXCMPTIO^I: ~
If entering children in school, ~
please list their names:
i - c~-~.s~,~~.-~- ~.-~~-r~-~
~~-r-..L.~.\ ~~C.~^~c?-~
~ T~IUC
E CO ECOR Ep ~
RO(icR FO TqA ~LA. `t~
~ RECORp y[gj IED ~OUAT ~
~
~s 3 os PM'15
3U1.899
E
E
't
i
~
3
i
~
!
~
i
~
# 1 FURTIIt:R CI:R1'11=Y that 1 will register at my loca) address when the ngistration books reopen, and
~ rurn~~ly wili~ all uther rcq!iirr~nents of a I~~al residcnt of this State.
~
~
~ I 1=URT1ILR CrRTI~Y ihat 1 havc na intcntion to return to my tormer domicilc, and [ intcnd to rrmain in
g V '
: _ ST. LUCIG
: Y-~ , County.
ri (~lorida,.~~j.zite'ntl cc~~`r)
Q _
~ . 1 i: `~11
; .ti ` ; cS~~v~
l~ _ ' ~
3 i . - -
A . ~ ji.t ~ .~i Q~~~:~iL~~Y
~ ~IGI~aTUit~ ~
~ . ~ - - = ` ~ - _
~ Swon~ h~ ai4c~~si~~s~tibcd hcfc~rc mc this day of
~
~ A.D. 19-~~-
4 1 Z 111~ ~C~C rG' S S
~ HOGLR P07T1 CL~IZ~: CIR iI1T COtiRT
~ Fl.orida
~ I ~ ] '
~
~ BY ` . y G~~~- L~ e~lttY CZCL'~;
s "
~
r (To be e culcd in duplii•a1~ and uri~:iual fd.•:1 r,~;th Clrrk ('irrail Cnurt. anJ dnplirale wilt~ Tax Asseawr)
~ ao~~`~ ~1908
. ,
~ -
_ _ - . .