HomeMy WebLinkAbout2242 D~claration ot Dort~iciis and Citlzs~ship D
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YO THE STATE AND COUNTIf TAX ASSESSOR,
51. LlK1E COUNl'Y, FLORIDA:
This is my declaration of Domicile and Citizenship in the 5tate of Florida that I am filing this ~ay in acoordance and
in aanformity with Chapter 222, Section 222.17, Flarida Statutes.
I wss formerly a legel res~denr of __.._.1~?_bo~ton Cit~_~__,_.r_.___~.___ Tenn~
(City) (State)
f
and 1 ~esided st Rt-9-_-- _ . However 1 have chanQed my domi~ile
(Stroet and Number)
ro end am and have been a bona fide resident of the State of Flnrida since ___1Qth------ dsy of :
_ Se~t ~ 9 b 3_, and I reside at ShtaLG~ } w*~*
(Street and Numbe~)
~ FORT ~CE, SAlNT LUCIE COUNTY, FLORIDA
encl this statement is to be taken as my declaration af citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent farts, such as sal~e of praperty or bus~ness, or relinq~ishment of employment
at former damicile, removal of family to new domicile, purchase of home, etc.) :
~
Peter Gregg '
Bntering in...the lOth grade of school
.
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1 FURTHER CERTIFY that I will comply witfi all other rcquirements of a legal resident of this State.
I Fl1RTHER ~ERTIFY that I ha~e no intention to return to my former domi~ile, and I intend to remain in FORT
..,~,~;t~~;;t~r
PIERCE,~•5`qi~'t'~:,~~;%G/QUNTY, FLORIDA, permanently.
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: i.M ~ ~ (Nam
~ _'_'~i~ Guy ~regg
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, " (Address)
Sworn to and subscribed before me this 1`~h day of __$eptt'b~i ~~9 6`~
ROGER POITRAS - -
CIRCUIT URT Notary Public
dt.c~c.~ ~ ~
gy D.C. My Commission expires
: Ro b~ ~x~euhd In duplitah se~d ori~inal fi{~d with C{Kk Greuit Covrt, snd duplicat~ eivith Tax Ass~s~or.)
~ OR
e~~ Z28 440