HomeMy WebLinkAbout1808 . _r. _ _
Declaration ot Domicile and Citizen~hip
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TO tHE STATE AND COUNTY TAX A55ESSOR, -~-~C7~ i~
Sl. IUCIE COUIVTY, FIORIpA:
This is my declaration of Domicile and Citizenship in the 5tate of Florida that ! am filing this day in arcorde^ce and
in confarmity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~111C1AL1it~. Ut110
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(C; ty) (State)
6140 Mita P1aCe _ However I have chan ed m domicile
and I resided at _ . - _ . 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State oi Florida since 1. . day of
June 65 909 Citrns Avenue
- - 19-.__ , and I reside at
(Street and Number)
FORT PIERCE, 5AINT LUCIE COUN7Y, FLORIDA
and this statement is to be taken as my deciaration of citizenship, actual legal residence and domitile in the State of Flo~ida.
~Insert here any pertinent facts, such as sale of property or business, or relinquishment of er~:ployment
at former domicile, removal of fam~ly to r~ew domi;ile, purchase of home, etc.)
Entering children in filenentary S~hool ~
FILED AND REC RDED
' 900K
.;,~4;;, ? ~4-`. '65 SEP Z A1~ 10 : 41
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~,a ' W , ~~~~•S'~' ~ RO~~_~~ ~ i;~~S, CLEftK
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ST. LUCIE COUNTY,
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y~: ~ r.~: FLORIDA
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I FURTHER CERTIFY that I will tomply witF~ al) other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINt LUCIE COUNTY, FLORibA, permanently. ~
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r - ' ~ i1.C~~^- -/.1~--- ~ bavl , ~,d,~~~J
- . ~ ' - (Name)
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( . - - j _ Charles Elstua _
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• ' SwOrn to and subscribed before me this day of September 19 65
ROGER POITRAS _
f~LERK CIR~JIT COURT Notary Publiz
By ~~~`--~~T~d...c.`_~_l_,~ D.~. My Commission expires
(To be axecuted in duplicate and origina! fiied with C!e?k Circuit Court, and dupliute with Tax Assessor.)
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