HomeMy WebLinkAbout0875~ooK 2 2b7
- Declaration of TDo~mici~ejon~'Citizenship
TO THE STATE AND COUNTY .TAX, ASSESSOR.
Sa i nt suc i a COUNTY. FLORIDA
This is my declarntion of Domicile and Citizenship in the State of Florida that I am filing this day in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Statutes.
NewYork__------------ ------
I ga4 formerly a l~rl r~.dent of -------- --~Ar~Yt~Y~tA---------------- ---------------------: -_
(Gtit.) (Siatb)
T ~, . ~8 Sheldon_ Ave,_ _ _-_______ - _ However, I have changed my domicile
d,iu i cbS2ded at - -
- (Street sad Number)
to and am and have been a bona fide resident of the State of Florida since i~} ciay of
--- - ---- --Jzi ^u:: r-y_________________-, 19 bl_-, and I reside at-__ ~`~Vy_____i3c.~P ~$ _Y~th~.,I'b6t _ _ ____--_ - _ __._____-_
(Street and Number)
Fort _ Pierce __-__-- -- -------___ St. Lucie------------ -__--County, Florida,
--- -- --- - (City)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(InseFt here any pertinent facts. such as sale of roperty or business. or relinquishment of employment at
former domicile, removal of familq to new domicile. pnrchasa o1 home, etc.)
j':$t~abliS111Ii~ ,,IIl7iit8.~s`Lirt3fi
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F~i_F~, ~r~c ~FCO~oF~
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_' y,~l 1e of e' ~' {/ r r ~?:
~~. CUCiE COUNTY FCUC.rr ,;
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_., _ .
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I rliRTIiER CERTIFY' that I will register at my local address wnen i,i,G ,Cg;a~=o...,., ~~~--- ---~-_-•
and comply tieith all other requirements of a legal resident of this State.
I FURTHER OERTIFY that I have no intention to return to my former domicile, and I intend to remain
Fort Pierce St.I.uc ie _ _ County, Florida,
-------------------------- ----------------- -
------------ -- -
_ (C!cy)
permanently. ~ _ "~~-- ----- ---------
- --
--->`~~~'~ -v--- - - ------------- ---- -
(Name)
Julia Steiger
- -----------------------
(Addrese )
Sworn to and subscribed before me this.-2Q _-_ day of •• ..
.;
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. ..
---• , j
January ___ A. D. 19____ ~ ~ • • ~ '
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.... -.-- -----~-------~----- -"--- ~ - L
------------- Notary Public State of Florida at Larne ' • ~ / ~ ; ~ ,
1
i
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Jan 15 19 64 '~ ~' ' ~' -
My Commission expu~---- ---------------------~------------ . -. •. :•. ..• .
(To Le exec~2ted in duplicate and original }sled with Clerk Cirenit Canrt,•~Sat!~~'Chte with Tax Assessor)