HomeMy WebLinkAbout2142 DEC~acatcan of ~~micf~~ and Cit~z~ns~ip t~ ~
_~ru ~rti~: s~t~n•ri: nNU courv~rY •i'.1X ASSESSUR, 3Q~?n38
ST. 1.UCTE _ rUUN'fY, i~LUltl!)A: `
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"fl~is is my dcclaration of Domirilc and Citircnshir in thc Statc of l~lorida that 1 am filing this day in (
accorclancc, and in coi~forn~ity ~vitl~ Scctio~~ 222. I?, I=lurida Statut~~s. _
1~va~ fonncrly ,i Icgal resid~ nt of ---~1~.F_Q1„~~-. C ON N ~~~~1 1
(c~~r) (s~~~e~
residrd at _--_~~~?=~~.F_~~__~o /g ~ . However, I have changed my domicile to
' (St~eet and Number)
and am and have txen a bona fid~ rrsidcnt of the State of I~lorida since day ot'
-~-~1~~1`~ , 19~
S and 1 reside at -~~I1~'~~ y_D!/T vov~t. I~~d/1TS ~
(St~eet aod l~umber) -
St. Lucie ~
. - County, Flc~rida, '
(c~ty)
an~1 this statement is to bc t.ikrn as my declarati~n of citizrnship, actual legal residcnce aRd domicile in the State
oi~ l~lorida.
(Inscri here anv prrtincnt facls, such as sale uf pn.perty or buvnrss, or rclinquishmrnl of employmeit at tormer
aumicJe, rrmuval of (amily to new domicilc, pureh:ar uf home, rtc.) ~
FP.'rERI:'::: CNILDRE*: Ird SCHOOL: HOriESTEAD EtEriPT70y: ~
If ente-rii~g cl~ildren in school, ~ -
please list ~heir t~ames:
;
;
j- ~
\ i
~~V
~e~o ~co~~~ ~
! st.~uc:E cou~rr FtR,
' • ROGEA ?d;tR~,S •
~ CIER{ CERCUlT
C0. Wt` ~ '
f ' Rf.~ORQ YERIFIEO ;
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~ - M~t 1+1 10 3z AN'75 ~
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~ ~ ~o~z38 ~
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~ 1 FUR'flli:R CERTIFY that 1 will rr~ister at niy local addrr~s when the registration books rcopri~, and -
~ com~~ly with all othcr req!~ire~ncnts of a Irgal r~sident of this State. :
~ .
~ 1 1=uRT~i~:K eH~z~-lr-~' !hat I lia~•e no intention to return ta my tormer domicile, and 1 intend to remain in }
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, sT, i..uclL :
, - - County,
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~ Sw-riti~~to•~Hil suhsrrib~d heforc mr tiii,~~ day ef ~
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n.n. ~ ev r-~ a o Rf~ ~
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ZC~~r;t }'Ol'i'RAS, CLE? CIRCUIT COURT TENSEiv_/~~r¢~%/ , Florid~ ~
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~ ny ~n~c ' Dcpt2Cy Clerk
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':~t (To bc cut.J i~ dul~lic~tc anJ ~.ti~:inal fJcd ~:ith ('Irrk Circuit Courl, and dupliiatc a+ith 7az As;cssur)
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