HomeMy WebLinkAbout0939 Declaration of Domicile and Ci#izenship
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TO YNE STATE AND COUNTY TAX A55ESSOR,
S'f . LUCIE COUNTY, FLORIDA:
t~:s is my detlaration of Dom~cile and Citizenship in the 5tate of Florida that I am filing this day in attordance and
in conformity with Chapter 222, Section 222.17, Fiorida Statutes.
I was formerly a legal resident of _$~~l~_. C811fOID~A
(Ciry) (State)
and I ~esided at _SQO___I~ _ StY~et ~ . However I have changed my domic,ile
(Street and Number)
to and am end have been a bona fide resident of the 5tate of Florida since 2Sth-- day of
-_---.~3lIIl~--------, 19~__~~nd I r~side er ---$08__Besch Court
(Street and Number)
FORT PfERCE, SAINT LUCIE COUNYY, FLORiDA
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, removal of family to new domicile, purchase of home, etc.)
Entering David Reid and Gerald Hightower in grade schoal
aad Lealie ,jaa also~•
~ Bntering Toni Lea in Jr. High F~
REC8RDE0
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1~URTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
I~URT'HER CERTIFY that I have no intention to return to my former damiSile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanentiy.
~1.:, ~It ~ t!; ~ . . ~
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f"' ~S'~ ~ ~ Mrs JacY~N . ~Paacton
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: . _ (Address)
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' 9wdtH`~'t~ and subscribed before me this _ 1~t1~ day of _ Au~t7St ~ ~q 65
RQGEit POITRAS _ ~
CIRCUIT COURT Notary Public
gy - D.C. My Commission expires
- (To b~ axecuMd i~ dupliats and original filed with Cle?k Circuit Court, and duplicate witi~ Tax Ass~ssor.)
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