HomeMy WebLinkAbout1989 Declar~rtion ot DomlclM~s ~nd Citiser~ship ~
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TO THE S1ATE AND COUNTY TAX AS~ESSOR,
51. LUC1E COUNTY, FLORiDA:
This +s my declaration of Domiciie and Citizenship in the State of Florida that i am fiiing this day in eccordante and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _pOrt Crld~t - ObtiI10 Canada
(City) ~ (5late)
~nd I rzsided at C~pU~i_ A~C~__ . However I have changed my domiCik
(Street and N~mber)
ro and am and have been a bona fide resident of the State of Florida since _~C~?~~~~~__ 4~ 1965 day of
- - - 19---_, and ! reside at --11~--8_f'~t~~ AVet7L1C ~ pOrt $t. Luc ie
(Street and Number)
~GRT PIERCE, SAINT LUCIE COUNTY, FLORlDA
and this statement is to be taken as my dec!aration of citizenship, actual legal residence and domicile in the State of '~lorida.
(fnsert here any pertinent facts, such as sale of property or business, ar relinquishment of employmeni
at former domicile, removal of family to new domicile, purchase of home, etc.)
To P1ace Child in School
Cynthia Ann Miller 9 yrs.
~iLE CORDED ~
~ ~ 900K
'65 M I~ : I 5
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- ROGER ; ~AS. CLERK
S7. l.UCIE CQUNTY,
FLORJpA
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t FURTHER CERTIFY that I will com ( with all other r uiremenis of a I ` .
P y eq egal resident of ~is=gt~ _
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I FUR7'HER CERTIFY fhat I have no intention to return to my former domi~ile, and I i ' f~~'~'~ .
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PItRC~, SAINT LUCfE COUNTY, FLORiDA, permanently. h~t~l;:~ri;~:~~'.
- z~T~~=
- (Name) Bernice B. Martin
~ ,;,+:~,~~~~r;;,;;, ~ 113 Beach Ave. , Port St. Lucie
,~`~~\~='1 U,••; •••.~Ov' {Address)
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' •s~ribed befare me this day of ___~atg.la~I ,~q 6~
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A~~It : COURT .
Notary Public
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~Y ~ - "'G~' D.C. My Commission expires _
(Ta bw~ sxecuta~d in dvplicata and origie~s) ~iled with Clarlc Grcuit Cohrt~r s~ ~cah w~~ Ass~ssar.)
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