HomeMy WebLinkAbout1447 I~~cl~s~~~;~i~ c~f ~c~iY:i~i~~ ~~r:~ ~~~«ensh~;~ ~ /
~
~~ri ir srn~~~ nrv~~ c•~un~~ "I~AX ASSI:SS(~It. 30~821 :
ST• --LUCIF CUUN"1'Y, f~1.C)RII)A: ~
This is my cl~~clar,ition ol~ vomicilr an~t Citircnshi~~ in thc St:?t~ of I~Ic~~ida ihat I am filing this day in
.•~u~~~~n~•.. ..~~•1 i.• . .•f.~r...:~.. . .:~1. C....N.... 1l1 ~'f 17~ _;.a__ c•._•... . .
_ _ ~ ..i, a.a ~•..:iv+a.c.~ ~ ~i ~ ~:.~u i ~ 1 1ijil~Yai Ji•iilii~ J.
~ !
1 was formrrly a Icgal rcsidrnt of -~1~-~ - l~~~~_!L~$~- ,----~~1~iCSt _ and 1 ~
(c~~r) / (S1yle) ~ .
r.~si~icd al ----1-~~---Q~CL~N_ _~(L~ Howcvrr, 1 htivc changc~ my domicilc to '
(Slrett and NumMr) • ~
i
and am ~nd havr bccn a bona lidc residcnt of thc Statc of Florida sincc day o!~ I
LL~ S~ • 1~l-~~ and I rrsidc at ---~J~ 7- L1~$~.~__~ z
(Strert aud INUmberj j
St. Lucie
1_~J~C~-- - - Couniy, Florida, ~
lt'~~~~) ~
ctind this statrmrnt is to bc t.~krn as my dcclaraliun of citizcnshii~, actu~~l Icgal rrsidcncc and domicil~ in lhc Statc f
u1- }~lorida. ~ ~
(Incrri hcrc any prrtincot facts, such ac wIr ut pruprrty ot busiures, or re~inyuish~ncnt of rmplo~mrnt at formrr ~
dmniclr, rrmuval ui tauiily In nc~~• do~nicilr. purchace i,f hu~tie. etc.) ~
L?ITERI;:G CHILDRE?7 7'~' SCHO~L: HO;~it.'STEA7 EXETiP'"I0:`i: _
~ r
If enteri_T:g childreii ii~ scliool, ;
please list the~_r names: ~
~ i
~ , c ;3,~ E E,~ ,
" h `
~ ~
- f,
~
i~
i ~
; ~ ~
G ` ;
~ FtLEO A!1'_' ¢EZOiI~E~ :~'jJ ;
i s1. ~iKif COtJ!1tY fl.~ d ~
; R(iZEi~ f0~MA5 ~
~ CtER1~ C+aCWi COUitt
RECO? l YE?sf IED.,...~.~
,
P
~ ~ 1U~ ~8 1 0? PM'~5 `3
F 3U:~821
;
~
~ ~
~
; ! I~IJR~'fil:IZ CI:R"I~I[=Y that 1 ~vill rc~istrr at my I~~al addre~s ~vhcn t13~ r~gistration biloks reonc~:, and
~ cc~mply ~vith all othrr req!iirements of a legal r~sidcnt of thiti State_
1 FURTf1ER CI:RTI('l' that 1 h.~~•r no intrntian to r~tcrn to my formcr domirilc, and I intcr.d to rc:m:iin in
~ ' ST. L~CIE
~?0/ 7 ~cJe-__ /Q,GfL~1~'E_. County,
}~l~rida, pertiiancnUy. (c•"~~
_ - 1 _ a.,z.~ -
~ - - --SIG~%~3'~~~;
, _ -
,
.
. . . .
• - 'o : -
, . ~ G : - - - SIGi~Ai'URc: -
S~~~nrn~~'to at ~b$~~d bcforc tnc this _ 1a_ _ cl:i ~ of
A_t~.19_~ 7S V Lr
•fi ~ } ~ ,
0 7 f~-,~,~
.
`l~~ii~~ uc ress~
RUGL~"'Pd'~~TRAS , Ci.I: Ttl: CI kC!' I T COUR1' ~
/ ~ ~~,7~ ~E,C.~, I'1~~ icia
, ;
~y' - J' ~':~'„~tiry Ctcr):
.
? '
- (Tu h~• rx ~ir~l in dnpl~rah• a~~d ~,r~~inal (d~•d ~~i1h C'IcrA ('irrt:il ('outl..~nd dur,I ~ai! aa Asscssur)
aoac~~
~ . - x - _ _