HomeMy WebLinkAbout2021 . . . . . . "1
Dectara~~on of Dam~ctle and Citizensh~p ~ ~
~
7'O TI lE STAT~ AND COUN7'Y 7'AX ASSL-:SSUR, ~~Qp~, +
-`~Q _ - '
_ ST. LUCIE~"_ C.OUNTY, ~LORIUA: '
Tl~is it my d~ciaration of Domicilc and Citizcnship in thc Statc of Florida that I am filing this day in
acwrdancc, and in conformity with Section 222.17, Florida Statutcs.
1 was fonncrly a lcgal resident of e DY S 7 aT~ and I
~ t(ci~r) (s~.~~)
residcd at - _~Y~ ~lLl~-~_L ~iowever, 1 have changed my domicil~ to
(Street snd NumAer)
and am and have becn a bona Gde rrsidcnt of the State oP rlorida since day of
~~Q ~ e , 19. a~~d I rcnsidc at ` ~~-°hS 1/l/O O ~ 1-~ /7
~ (Strcet and Number)
_ O Y~ S 7. L U L/~° , St . Lucie County, Florida,
(c~er)
and ihis statement is to be tskcn as my declaration of citizenshir, actual legal residence and domicile in the State ~
of Florida. ~
(Inscrt herc any pettinrn! facls, suc1: as ssic of pruperty ur businrss, or relinquishmenl of employmenl at former
domicilc, removal ut family to new domicile, purchase of homr, elc.) ~
f
LNT~RI;IG CHILDREI3 IN SCHOOL: ~ HOMESTEAD EXEMPTION: - ~
If entering children in school,
please list their names;
„~4 Gt. ~1 yl ~ ~ C'. O .S ~ ~
~~iu°ciE caat~i~irRF~~.
R~O~R P4~TRAS
~ CIERK C~+:CUIT COURT ~
RECoa~ vER~F~fo
Fee 2a t0 z3 I~'15
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~ ~99~8
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I FURTHGR CERTIFY tiiat 1~vill rc~ister at my local address when the registration books reopen, and
comply with all othcr requirements of a Icgal residcnt of this State.
I FURTI~ER CFRTIFY that I havc no intesition to rrturn to my former domicile, and I intend to remain in
~ ST. LUCIE
_ 4 1"~ S~ 1~_~~~ , County,
~ rlorida, permancntly. •
~ ~ ~~-~~1~
.
~ ~
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~ : ` -t;=; ~ S IGi~:l~.'I`URE
~ ~;;~r '~••.;j•~^..,..- ~
~ ,....;.;~,co
~ S~vo~t~.~~t~,d:s t~~=be~orr ~nc this da~ ct
c+••t ~ ~
w J
~ _ _ ~w'~ `J~~ , ~.U. ~ 9 . . N~ ~e s ~ ~ ~l./( ~
• ~ - .~:z:,~ i ng ~ ress
~ t~, E' ; CLC . CIRCIJIT C~U~tT S~, LU e, rlorida
~4~-
. ~ '•.1~~:;;-
~ y '
~ ~ De~uL-•;- Clerk .
~ (To tre e:ecuted iu duplicatt and utiFinr~ f~lyd ~vith Clerk ('itcuit Courl, and duplicatr wi~h T1x Asseswt)
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