HomeMy WebLinkAbout2241 ' . ~ w... .s. . ---T-.-y+r . - _ .
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~ Deelaratio~ ot Do~niciie and Citis~nship
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~ T4 THE STATE AND CCI~INTY TAX ASSESSOR, '
~ 51. lUC1E COUNTY, FLORIDA:
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~ This is my declaration of Domicile and Citizenship in tha State of Flo~ida that ! am filing this day in aoodrdance an~
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~ in canfarmity with Chspter 222, Section 222.17, Flarida 5tatutes.
Louiaville Lentutt~
I was formerly a legal resident af -
~~;tyy (Stah)
620Z QiIIiDe Driee . HoW~ver 1 have cha m domiCiie
- and I rasided at _ - - - - ~9~ Y
~ (Street and Number)
~ ' to and am and have been a bana fide resident of the Siate of Florida since __________3__ day of
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~ F - Se~tW~ber , t9
~S , and I reside at . 2605 Oraa6e Arrentu '
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~ FORT MERCE, SAINT LUCIE COUNTY, FIORlDA
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R and thiz statement is to be taken as my declaration of citizenship, actual fegal residence and dorroicile in the State of Florida.
~ (Insert here an pertinent fazts, such as sale of property or business, or relinquishment of employme~t
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. at former damicile, removal of family to new domicile, pu~chase of home, etc.)
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, ~ntering four children in ~lt'entary School
~ ~ one child in Junior ~i~h Sthool F~L ~j~~ .
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;''~~•f. BOOK
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~ ~ `~~w~ _ ROGER
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- _ . St. LUCIE COUNTERK ~
~ . ,'l,• FLORIOq Y'
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I FURTHER CERTIFY that I will camply with all other requirements af a legal resident of ihis State.
I FURTHER CERTIFY that I have no intentian to retum ta my former dami~ile, and I intend to remain in FORT
- PIERCE, SAINT I.UCIE COUNTY, FLORIDA, permanently. .
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~ ~ s + , ~ ~ ` _ (Name)
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` > ' r - Bett~ H~bel
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' ~ 14 Septea~ txr 65
Swarn to and subscribed befare me this _ ~ day of , 19 •
t ROGHt rOtTRAS -
K CIR IT CClUR Notary Public
8y ~ D.C. My Commiasion expires ~ ~
? (To b~ ~x~cvfsd in dupliwb aind oripi~nal fil~d with CIKk Csrsuit Co~rrt, ~nd dupiieaf~ wifi~ Tax Asssstor.)
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