HomeMy WebLinkAbout1658 De~claratian of Da?miCile and Citizenship
TO THE STATE AND COUNTY TAX ASSE5SOR, J 7 i{ 3~ ~
t
Sl. IUCIE COt1N7Y, FlORI6A:
This is my declaration of Domicile and Citizenship in the State ot Fiorida that I am filing this day in bccordante and
in conformiry with Chapter 222, Section ~22.17, Florida Statutes
I was formerly a legal resident of ~ __.~~5~~ _ _ C~'IF ^ _
' (City) (State)
and i resided at _ 1015 CyLStto St. _ . However i have changed my domi~ile
(Street and Number)
~Sth _ da of
to and am and have been a bona fide resident of the State of Florida since _ y
J~1T 65 50S N. 43rd St.
- - 19.V___, and I reside at
(5treet and Number)
FORT PtERCE, 5AINT LUCIE COUNTY, FLORIDA
and thia statement is to be taken as my declaration of citizenship, actual tegal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sal~ of property or business, or relinquishment of employment
at former domici~e, removal of family to new domiciie, purchase of home, etc.)
BNTBRING TWO (2) CHI~.DRHN IN PUBLIC SCHu4IS
MICHABL T. YING (14 qrs)
pAULA J, gING (13 qrs) F~~Ep ~~Q
r~,! REG~~~
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_ . . 'i~~~° . S AUG 2 ~ p .
_ l . . . - . 1 ~ ~ • 33
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_ _ { ST ~UC~,~~`~`'' ~~E~ .
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I FURTHER CERTlFY that I wili comply with all other requirements of a iegal resident of this Siate.
I FURTHER CERTIFY that I have no intention to return to my former domi4ile, and 1~ntend to remain in FOR7
PIERCE, SAINT LUCfE COUNTY, FLORIDA, permanently.
.
„s;t~t;c;~~,J: ~
,`\',"y v .
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r. (Name? .
: _ i ' . 'V• o ' l~tS . WJ,NDS LIRg K ING
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° ~ (Acidress)
J-~+~ ~ - - . ~ • •'e 4.,t
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/~+~f~tri:~;~~~',~vbrn to and subscribed befo.?e me this 27th , day of A~*UST_ , 19~_.
ROGER PO 5
C CI tUl COlJRT Notary Public
~
gy D.C. My Commission expires
~ (To be ix in dapliut~ and originsl filed with Cierk Circuit Go~urt, and duplicat~e with Tax Ass~star.)
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