HomeMy WebLinkAbout0858 . ~
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~ De~laration af Da?rrilcile and Citize~ship i ; ; ; ~ ' ; ; ~ ~
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E TO THE STATE AND COUNTY TAX ASSESSOR,
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~ ~ Sl. WCIE COUNTY, FLORIDA:
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This is my declaration of Do~nicile and Citizenship in the State of Florida that I am fiiing this day in accordante and
, in conformity with Chapter 222, Section 272.17, Florida Statutes.
I was formerly a legal resident of _ Cra~wfordville _
I~~~a
- - -
F (city) (State)
Rural Route ~ However I have than m domiCile •
and I resided at - - . . 9°~ Y
(Sireet and Number)
to and am and have been a bona fide resident of the State of Florida since dey of
~uly 19-bs and I reside at 112_ RQg~~y~~YEnue
~ (Street and Number)
FORT PIEItCE, 5AINT lUClE COUNTY, FLORIDA
and this statement is to be taken as my decleration of citizenship, actual legal residence and domicile in the State of Ftorida.
(Insert here any pert~nent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
Establishing residence
Fl' 'LE~ ~Rt~C~ ~~~~E~/~,~[ v ~ , ' ~
1~.1 ~ • ~-...~QY~~'l •..••.~~~V~-,I ~if. .
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E s~[".~r?~~I ~ ' ~~"••~~li i+ .
R~wEi~ ~r ~'~t.~~. CLERK ~ ~•>>~?v~•••..:~:' • .
ST. ~UCtE ~QU~#TY, ?
FLORlQ~A . .
I FURTHER CERTIFY inat I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return tfl my former domi~ile, and I inte~d to remain in FORY
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanent!y.
,r ~r-~~'. ~~aC~~.~._~'' ~ -
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- Gen~va Swindler
~ "j~ (Address)
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Swom to and subscribed before me this 7~ day af _ _OCtObI'I ~ 19 b5
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
~ gy _~~~y~ ~~~J _ D.C. My Commission expires
(To b~ ~x~rcufrd in duplicat+e and oris+nal filyd ~rith Cleirk Ci~cuit Court, •nd d~plicah with Tax Ass~ssor.) .
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