HomeMy WebLinkAbout1270Declaration of Domicile and Citizenship
ao-R~ 50 ~.~c~EiClS
TO TIIF.' STATF. AND (`OLTVTY TAX ASSE SSOIi, (~
3T. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Cltl~enship In the State of Florida that I am filing this day In accordance
and in conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legal resident of_ ~-.-~
(Lyty) State
and I resided at 1o South James .__ _ _, Ilowever, I have changed rtzy domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 21st day of
i~ovefnber
19 62 and I reside at
_ 2506 Jersey ~+yenue
(Street and Number]
WORT PIERCE, SAINT LUCIE COUNTY, FLOT_tIDA,
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, reme~•al of family to new domicile. purchase of home, ete•)
Wintering Georgetta '-'iilley in the 12th grade
and Giayton Luna in ti;e 3rd grade
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i r-[JRTHER CERTIFY that I will resister at my local address when the registration books reopen, and comply
with all other requirements of a legal resident of this State.
I FUI't'i'I;ER CERTIFY that I have do intention to return to my former domicile, and I intend to remain in
FORT,, py ........ ~41;NT LUCIE Ct?UNTY, FLORIDA, permanently.
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. ~,~ . ~,~~. •~~~. (Yrs. Helen ddb
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[Address)
'~ ~ ~,('• •.`....••'~~ ='~ 28th November
mom, 4d ~nd~ §~liscxf~iea before me this iay of 19
ROGER PGITRAS - -- ----- -
CLERIC CIRCUIT COURT Notary PubLc
3y - _ r,~,C, TIy Commission expires-
(To be a:ocuted in dupilcat~: and oriYinal tilal with Olerk Circui! Coact, snd duplicate with Ta~c Asseasx~,