HomeMy WebLinkAbout2017 Decla~ation ot Dornlcll• and CKisenship 133412
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. LUGIE COUNTY. FIORI~A: ~ ;
This is decla~etion of Domicile and Citiunship in th~ St~t~ of Haida th~t 1~ Nlirp thi~ day in aooordancs and ~
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Fn oonformity with Chapter 22Z, Section 222.17. Florida Statutes. ~
1 was formerly a Is~al rosident of ~ Hyatt3villc Maryland
(City) (Sta»)
and ! r.swed ,t 503 Greelawn Dr. ~ ~w ~ }
(Strest a~d Number) ~
b~nd am and have baen a bona fide n~sidsnt of the Stah of florida si~+os Z1St day of ~
t ' AQril . ~
, ~q 64, a~ at 155 N. 16th _St. ~
(Strest and Number) _ ~
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PORT Iq~C~, SAINT LtlCIE COUNIY, RORIDA . 1
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and this statement i: to bs taken as my decleratian of citizenship, actual le~al re:idenos ~nd danidle in the Stata of Hortda. 4
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(Inssrt here any pertinent fsd:, such ss sale of propsrty or businii~~~.relinquithn~snt'o~~mploym~nt ~
at former domidle, removal of family to new domicile, purchsse of 1ams, 133412 ~
. AND RECO1tDED ~
New Domi~ile ~A~ I~OOK ~
t965 FEt3 ! Q PM : ,
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ROGER POITRAS. CLEftK ~
ST, LUCIE COUNtY, FLORIOA
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i FURTHER t~tTiFY that 1 wilt oompfy wMh all othsr nc~r!?~rrwnta of a Ipal r~id~nt of tht: stsro.
i FURTHER CERTIFY that I have no intention to retum to my former domidle, and 1 intend to ~emsin 1n FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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,,,,,',~~c'E'~Sworn,,ro and subsatbsd !»fore me this 18th ~ Februar 19 65 i
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RO~iER POITRAS _ i
. CIERK COURT Notary Publk !
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sy l ,d-;t-~~ Z(i(J'~`~ D.C. My Conwnlsslon acpirw ~
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~ Q~ 1~ ~aiNd M drpNeM~ a~d ~ioM~l fi~et wilb Cf~ek G~wit C~w~, ad ~ wiM~ Tioc Ai~rJ
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