HomeMy WebLinkAbout2724 . . . , l{ ~
D+ecl~ratio~ of f~t~msci~~ ~r~~ E..~t~~~ns~tc~
°1'U '1'l ll: STAT1: ANU ('UUNTY ~~AX ASSI :SSUtt, a~Q~J4O ~
ST. LUCIE ' ~OUN'1'Y, F1.UR11)A: ~
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Tl~is is my drelaratiui~ of Uc~micilr :+na c~~~~~„~i»,~ in thc Statc c~f l~loricia that l am filing this day in ~
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accarJancc, an~l in conformity with Scction 2~2.17, I~lorida Statutcs. ~
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1 was t'ornirrly a Icgal residcnt of __~~.~-e-~-,-- -
(citr) (State) ~
r~~idrd at s~--.1~-Q-~~ ---s . Howcvcr, 1 havc chan~cd my domicilc to ~
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and am and havc becn a bona tide r~sid~nt of thc State of rlorida since day ot' ~
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~~_S~ , 19~~_-, and 1 residc at _ I o Q~( 4• ~_~~r' ;
''`-`4''~ / (Strcet and Number) _ ' t
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- ~ f _--_~~r~~ St . Lucie Caunty, I~londa, ~
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~~nei ihis statement is 1o be taken as my declaration of citizenship, actu:~l legal residence and domicile in the State ;
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of Florida.
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(losrri here any petlinrM facts, ~uch as salr nf pruprrU~ or Ausinru, or reliaquishment of empioyment at tormrr ;
domicJe, remaval ut family tn ua~r domicilr, putchas. of home, etc.) ~
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E?`~T~RICIG CNILDREid IN SCHOOL: Y HOMESTEAD EX~MPTIO`I: x '
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If entering children in school, ~ ~
please l_ist their names: '
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s~.`iu°c~ cai~ir
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. ~~c~~ ~amus
CLfRK GIitC11tT C0111tT
a~co~n r~~~F~~o i
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f~e Ze I so PM'75
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~ 1 t~t!RTHI:R Ct:KTII=Y that 1 will r~giste~ at my local adclrcss ~vhen the registration books reopen, and y
~ rom~~ly with all other rcq!~iremcnts of a Irgal resid. nt of lhis Statr. ~
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~ 1 FURTIIt:R Ct:RTlI=Y that 1 ha~•c no intention to rrturn i~ m~~ tonn:~ domicilc, and 1 intcnd to mmain in
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ST. LUCIE
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f~lo;ida, pcrn~. {2~ntly.., „ „
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