HomeMy WebLinkAbout20048. ~K 27 .~ACE60~ .. .
Declaration oT ~m~eliN Y~FLA. C~t~Zenship
. I_ C C
TO THE STATE AND GOUNTY TAX ASSESSOR. -- . .
$t.Lucf • COUNTY, FLORIDA:
This is my declaration of Domicils and Citizenship in the State of Florida that I am filing this day in accordartoe and
in conformity with Chapter 222, Section 222.17. Florida Statutes.
1 was formerly a legal resident of____N.BUt -14>"3C--j ~)------- --- (s„t.)
~~~ _~._. However, 1 have changed my domicile
and I resided at __g+'.22.__1F ~~~e~~)~1~-~$'~a~-- ~
to and am and have been a bona fide resident of the State of Florida since__--lg~------------------'- day of
---------------------. 19~]L_-, and 1 reside at _~~t_~B~~~X'@_ AVe~--------
-D.ecwaber------------ cstr..t .tea N~.r)
__ County, Florida,
Fort Pierce $t.Lucie
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
a butinets, a r~11r,Wial~t of MnPbY^N"t at fam.r do,nitib,
(Iraert twn +ny p.rtirwrN i.ds, ouch +s ui. of prop.rty
rNnovd of f.mily to nrw domicib, pwdwt. of i~anw, Nt.)
Establishing residency
1015 ~
pN R g00K
~.. '~~
1N ~~ ~$ e~ ~: 4~
1961 p,5, C~ER~`
DER ~ ~~ FLOR~Da
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(_, .`, l1J ~ i ~ tJ /,ice\~~ • ~/~./'/A ~~~~
~,. ~.,.. is '! ~`F~•:
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen, and comply with all
other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
-------- -----F-arL-Pi.~ce--------------------.
Kitt') ~---~
permanently.
---------------~~'r~~cN~~~---------- ~nW~ Florida,
_ -
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A -S De FLOR1'~'")
---------------
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Sworn to and substxibed before me thls___-1$~~°-.-.~-~~r'~~~~~~~~ ~"----'-------- ---------------• -----
ROGER PO~IZR~3 ~' ~' .... -------- -------------------
----=~ ~ • ; .,t' ~ _1; „£'----- Notary Public
~POITRAS, ERK CIRCUIT COURT ~ : ~. ~~` ~;7/~,~„ -~
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expires------------ ------
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