HomeMy WebLinkAbout1096
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BOCK
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Decla:,otion of Domicile and Citixel1smp COUNTY. ru.
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE
COUNTY, FLORIDA:
Thia Us my declaration of Domicile and Citizenahip in the State of Florida that I am filing thi5 day in
accordf.nce, and in conformity 'vith Chapter ".22, Seetion 222,17, Florida Statui;es,
I was formerly & l~&l resident Of._._n__.Hliorth __Syra.C.UI.4LH.._____..___...u....., ___m_.N~"" YQ~~ HHnu
(City} (State)
and I resided aL._ .__. ....l~...~~~y..~~~..___..n....... .U.U..' ._., However, I have changed my domicile
(Street and Number)
to and am und have been a bona fide resident of the State of Florida since
30th
d~y of
___.h_~;r<;lL.___n..._.......m.H......__, 19.6.Q.., and! reside Lit Hn.!.~9.4_..~.~.~.~H.~_~~l:.~.._ ._.m... u_
(StrHt and Number)
_______-F..ort..-Ri.erc4L__ __nnnHn__.__._..._...._..u. ..mmm'.__. _. ....h~j;_L_~~~.1,~. unH". m..u.__... County. Florida.
(City )
and this statement is to be taken IUl my decluation of cithenship, actual leg-al residence and domicile in
the State of Florida.
(lnaert here any pertinent ta.ctll. .uch ... 1&1. olpropert)' or buainea.. or relinQuiahment of employment at
former dom1c!\.. remoTa) of fam.lly to new domIcile. purch... 01 home. etc.)
w. have Bold our former homein New York and permanently moved to
Plorida in March of 1960. My wife and I are bothemployed in Fort
Pierce, Florida, and have Florida drivers' licenses and automobile
ta98.
93383
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r FURTHER CERTIFY that I will rqiater at my local addresa when the regi8tration boo" reopen,
aDd eoulpbr with all other l'8Quirementa of a legal I'Nldent of this Srote.
I FURTHER CERTIFY t!1at I have no intention to ret\~rn to my former domicile, and I intend to remain
1ft _~t-fi.rce
(atJ' )
pemal\.-tl7 .
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.~ {.,' dupUate aDd oriIio&1 aIM ~ Cierk Qmili o,urt. aad ctaplieate with Tax Aanuor}
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