HomeMy WebLinkAbout1064Declaration of Domicil
TO THE STATE AND COUNTY TAX ASSE3SOIt, -
_ 3T . LUCI E COUNTY, FLORIDA
This is my declaration of Domicile and Citisenahip i
accordance, and in conformity with Chapter 222, Sectioi
I was formerly a legal resident of_____CICERO_____ _
owa r .~;a.a 4+ 4913 ~T. 29th St.
(Street sad Number)
to and am and have been a bona fide resident of the St
- ----- M~'-~--- -- - - ------- ---------, 1960--. and I reside at
Fort Pierce -
(Cit~) -
and this statement is to be taken as my declaration of
the State of Florida.
(insert here any pertinent tads. such as sale o1 groped
former domicile, removal of family to new domicile, pan
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it
~osi
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I FURTHER CERTiFi' that I wall register at my
and comply with all other requirements of a legal resider
I FURTHER CERTIFY that i liav~ no intention to ~
• Fort Pierce
(City) '
pe lrn~a;zentl~ ~ ~
~~, _ ,,~ . ~ it
:+la.r~-:re , A Newett ~ .
[ ~~ '•'' 24th
Sworn to and aubscribe~,b~0>~,:'iiid~l_ _ _ - ___day of
_. . -
•.
J ..,, :''' 19 61
... A. D.
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N 1?ulilis• ~~ ,t~~se
My Commission e]Cp1Y~a;~-:',~~ ~T~-sA.:----------
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(To be executed in dbplioi0s~l~d°oriRinal Aled with Cle.
[~,•,4•..~. 4,:phlti' t'o i'lcnt ('It1. Fle. -
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