HomeMy WebLinkAbout11300. R. G'
Declaration of 17oiricile and Citiz~nahip b~'=~ ~~ FA[E~~~
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TO THE 9TATF. AND COUNTY TAX ASSESSOR.
3T. LUCIE COUNTY, FLORIDA:
This is my declaration of Domiclk and Citizenship in the State of Florida that I am fWng this day in accordance
and in conformity with Chapter 222, Section 222.17, FloHda Statutes.
I was formerly a le~l resident of Charlotte _ N . Carolina
tcity] state
and I resided at 1930 Yadkin Ave. Ilowevar, I have changed my domiclle
_ (Street and Number] 18th
to and n,~n and have been a bona fide reddent of She State of F'iorida sinoa day of
November &~ 1813 Okeechobee Rd.
_~ 19~ _, and I reside at - _-_-
• (Street and Number]
E OttT FIEfiCE, SAINT LUCIE CO'J1VTY. FLAPiIDA.
and thin atatemert is to be taken as my declaration of citizenship, actual legal residence and domicile in the State o!' Florida.
(Insert here any pertinent facts, such a9 sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile purchase of home, etc.]
Entering George Randall Richardson in the 3rd grade
~ L'ora Jean Ric~lsrdson in 8th grade
~~., ~ l_~2-a
-., . ~,,r. ;. ~ ~ ;~ .,. ; , - , ~ 1961 NOV ~6 pM 9: 07
"~ ~•'~~~ ~ ROGER PUITRAS, Cl
~~' 1 OUNTY, FLORIDA
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I FURTHER CEItTTFY that I wlll register at my local address when the registration books reopen, and comply
with all other requirtrnonts of a legal resident of this State.
I FURTHER CzRTIFY that I have no intention to return to my former domicile, and I intend to remain in
FORT PIERCE, SAINT LUCK COUNTY, FLOEtiDA, permanently.
Y
. Xr~ Y~i111am ~~ ardson
[Address]
Sworn to and subscribed before me this lay., of ~.... - --
ROGER POITRAS .:_r ;a ;.:~ : ~` :-r.--.-~...,:..
~ C1 ERIC CI UIT COURT ~ = ~~ ~. ~• _ ~ public
._ _. ~ A.C. • t~ .. ~ f ~ ~~ s
(7b i-e w[eanted 111 tlapiicate and aril ;f~tAy Ytie3 with CDerit G~''#,~s86i t4wplicsEe r~ith Tax Aslusssor?
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