HomeMy WebLinkAbout2627Declcrotion of Domicils and Citizenhip
TAX ASSESSOR, ~b~~ ~ ~ ~~
TO THE STATE AND COUNTY •~ .,..... t
St. ki ci• ~~, F1O111DA: ST. IUCIE COUNTY. FLA.
This is my declaration of Domidle and Citixanship in tM State of Florida that 1 am filing this day in eooordanoe and
In conformity wish Chapter 222, Section 222.17, Florida Stehrles.
1 was formerly a legal resident of------n8Hd8YL----------------------------• ---a~a~----------
l'aM)
and 1 resided at RQUltc9_~ ~-i~$------------------------. However, 1 haw d~arged my domidle
-------------~Mt .nd ti~+mb.rf
to and am and haw been a bona fide resident of the Sta» of Florida since_____________ ~~ ------------- day of
January
62 303 Boat on Avenue
19____-, .and I reside at ___~-------------------
~Mt and Ph,mb.-)
Fort Pierce St. Luci~__________ county, Florida,
and this statement is to bs taken as my declaration of dtizsnship, actual legal residence and domidls in the Sta» of Florida.
pnwrt Iwn .ny Pw~~ ~• wdi a~ aM of prop~Ar w bwi~~, or n1YquMhmeN of .mpbynwnr M fang domidl..
rnard of f.~y to Mvn dewddb. pwcl~. d henM, .rc.J
i'%ntering Glenda Kay Hammett in 2nd Grade
102333
FLED REC DED .
LI ' ' BDOK
192 J1W 29 PM ~ 20
ROGER POITRAS, CLERK
_ iT. IUCIE COUNTY. FLOR18
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I FURTH~t CERTIFY that 1 will register at my local address when the registration books reopen, and comply with all
other requtreritent~ of a ipal •resident of this State.
I FURTHER CERTIFY that 1 Mw no Intention tb return b my former domicile, and 1 intend to remain in
________ Fo!rtPierc~
~:
permanently
St. _LuC1~__-- County, Florida,
_ Qla~don Hammett _____-- -- ------ ---- -
-- iiwa.«a
--
s~r~n ~ ~ aub:<ria.d before me >fa._------~--- -----~- ~ ---- -----.~.a~~---------- - -
P~i~e _~larx.-•--------- - .__. ----------- -- ---
---~- POI CIRCUIT COURT - ---------Notary Publk
~ -- _-- -_ ~---____-- . _ D.C. My Canmissiort expires. __ __._ . _ _
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