HomeMy WebLinkAbout0806 Deciaration of Domicile a~d Citizenship
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TO 7HE STATE AND COUNTY TAX ASSESSOR, a.; i!<~., ~ e
Sl. LUCIE COUNTY, FLORIDA.:
This is my declaration of Dn:r.fc~le and Citizenship in the State of Florida that i am filing this day in accordance and
in c~nformity with Chapter 222, Section 222.17, Flori~la Statutes
New Jerse
i was farmerly a lega! resident of ~WeGtW~ter -____Y..
tCity) (Siate)
and I resid~d ar _ R. D. #1, . Hammonton Post__ Office Hawever I have changed my domi~ile
(Street an:~ Number?
to and am and have beer, a bona fide resident af the State of Florir~a since f irSt _ day ~4
May t9_ 65, and I res~de at 1407 Ponc~ ~~_L~QIL_P~3.dQ. _
(Street and Number)
FORT PIERCE, SAINT LUCI@ COUPETY, FL~RIDA
and this statement is to be taKen as my declaration of cit~zenship, act~al lega't resicience and domicile :n the State of ~lor~~~a.
(Insert here any pertinent facts, such as sale of properiy or business, or rel~nquishment of employ~mc:~t
at former domicile, removai of family to new dcrn~c:l~, purchase of home, efc.)
To establish leg~.~ residence a~*~d domicile in Florida.
FI , ~q~t~D ~~E~C~ R~DEO
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y". 3 I PM 3: 5 I
; , - ~ . '65 MAY
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~ A • . R~GER .'Ji i RAS. C~~RK
_A~~ • • ~s~ ~ ~ ST. LUCIE COUP:TY,
• ~ ~ ~ ~'LORIDA
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1 Fu~cTHER CtRiirY tnat 1 wiii camply wiih aii atl~er requiremei~is of a lega! resid~nt of tFis Sta°e.
1 FURTHER CERTIFY that I have no inter,ticn tc re?um to my for~~!~r dom~~ile, and i intend to remain in FOR?
PlERCE, SAINT LUCIE COUN7Y, FLOki~A, oermanently. !
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(Name1
1407 Ponce de o Praac
r0?-t y i°rCe, Fl ida
(Address)
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Sworn io and subsc~ibed before me this _ 3~-S~_ day of _.-__MaY ~~s""`"~'y'19 65_,
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ROGER POITRAS ~ -S'~"~"-~ ~ , .
CLERK CIRCUIT COURT Notary Public
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g D.C. My Commission expires ?~P~~~~=~~.~=
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(To be execuied in duplitate and ori~ina! filed with ~ierk Circuit Court, and dupiiwte with Tax Assessar•) ~v
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