HomeMy WebLinkAbout2164~ H. 4II~LL8
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Declaration of Domicile and Citizenship~b~K 4 191
TO THE STATE AND COUNTY TAR ASgE-g90Ii. ST• LUCIE CQUNTr, FLA.
3T_ LUCIE COUNTY. FLORIDA: -
This is my declaration of Domicile and Citizenship in the State of Florida that I am !!ling this day in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Statutes.
I was formerly a legal resident of-____-- 4~ECHOSEE-____________________________--_____-. -----FLORIDA _-- _
ipal ~~) -- ---------
P 0 BoZ 1585 anQed my domicile
and I resided at_ _ _ ____________-____ However, I have ch
(street and Number) 6th
to and am and have been a bona fide resident of the State of Florida since - _... __ _ - _-_..__. day of
Sept ember ~59 -
--------------------_------------------ - ---------, 19-------~ and I reside at-----~~_B~ll~4~.Roe!~ -------------------
- - -----------------
Fort Pierce _ ~ St . Luc i• (suet sad x,lmb.r)
--------------------------=-----.--___------------ ----- -- ~ ----County, Florida,
(ab)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(Insert Lore auly pertiaeat !acts. such as sale a2 zopert7 or business. or relit,quisLment of employment at
former damkile. removal of family. to new domicile, pureLase os Lome, ebe.)
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I FURTHER CERTIFY that I will register at my local address when the reQiatrstion hooka reopen,
and comply with sll other requiremenia~of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
-- 3t. Lucie
. Fort Pierce -----------------------------_~~ty, Florida.
m-----------------------------------------------------------_---------------------~ -------------------------
(cit,)
permanently. _
Edwin H. Qua! aam.l
--------------------------- -----------------------------------------------
(Address)
Sworn to and subscribed before fine thia_^ 1_?_t~l-day of
F brua •~• •• •~ 61
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Pablic~ate • - , at'Lss.
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My Commission expireaL,-..._ ~ 81-- ~=•
(To be a:eeuted in dnblieate~att~ oritinal filed witL Cleric Circnk Court, and duplicate witL Ta~c Assessor)
Bowen BupDl~ Co., Plant City, Pla.