HomeMy WebLinkAbout1548B~~K ~ / M1CE14~
Declorotion of Q~e~~~C~tt~zenship
TO THE STATE ~Q C~NTY TAX ASSE,SStNt.
a o ~NTY, FLORIW~
This is my deduafion of pomidle and Cifiranship in tM Stab of Florida that 1 am filing this day to acoordanca end
in conformity with Chap~Nr 222, Section 222.17. Florida Statutes.
Oaean Cit' Msryland
1 was formerly • IeRal resident of--------------------- ~-------- pM,,,l
Cit 1~railor Paork __-. However. 1 haw dunpsd my domicile
andlresided at ~---------------------------------------
-------- (Straa1 and 1~h,mbui
------------------ d of
to and am end haw been a bona fide resident of the Stab of Florida sinoe____-- ~--- ay
October ___-. 19_ ~ ,and 1 reside at __536 3o Nsirket Av_ez_________--
----------------------- a,..~ .nor wwe.•~
- ~t.Lucie
Fort Pierce _ -- -------------------- Coumy, Florida,
----------------------- ---------------
end this statement is to bs taken ss my declaration of dtinsn:tiip, actual Ipal residence and domidle in the Stab of Florida. °
(I,w,~ ha.. a•w v«tYww 1.c+.. «~ as sale d propa.hr or er.Y»b, « nNnwUlrn«+ of ~•Y""n' M tormo dowaa~e,
ra~wval d fang b naw don~kNa, pwttrM d bpna, aie.) ~ -
Satabliahing reaidena~
- 101'721 CO ~
•A~ E 800K
It1
1962 JAH -9 PM 1:25
- aocEa p our~aY S~lB~A
,. •~ ,, S,i. lUC1E~ ~~~
~.... , r„
I FURTHER CERTIFY that 1 will ngistar of my loci address when the rpisfration book: reopen, and comply with all
other requiremenh of a legal resident of this Stab. '
I FURTHER CERTIFY that I haw no intention to return b my former domkile, and I ~inte^d b remain in
Fort PLeras dt.Lnaire
-------------------------- County, Florida,
permanently.
Sworn to and subsvibed before me thb___-_- _-~
aoaa~t___ Po~w-s --------------- !
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~ r ~~'.~a ~~~ fdotary Publk -----------------
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