HomeMy WebLinkAbout0959 Declaratlon ot Domicila and Citizanship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE CC~UNYY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida that I am filing ihis day in actordance a~d
in conformity with Chapter 222, 5ection 222.17, Florida Statutes.
Alban New Yark
1 was formerly a lega! resident of - _ _ _ - _ - - - -
(City) (State)
S13 $O. P@~11 $ However I have chan ~d m domitile
and I resid~ed at - - - - _ -t~-- - - - . 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 7t h. _ day of
October 19_63_, and I reside at ____117_No.__llth S.
- - _ , -
(Street and Number)
FORT PIERCE, 5AINT LUCIE COUNTY, FLORiDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domitile in the State of Florida.
(Insert here any pertinent facts, such as saie of property or business, or relinquishment of employment
at former domicile, removal of family to new dosnicile, purchase of home, etc.)
Entering Ch~dren in School
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I FURiHER CERTIFY that I will comply with all other requirernents of a legal resideeit.o~~;~.;.~';,
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I FURTHER CERTIFY that I have no in;ention to return to my forrner domi~ile, and I intend ~to remain in FOR7
PIERCE, SAINT LlJCIE COUNiY, ~LORlDA, permanently. ~r~~,r.r,~,
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~ _ ~ - _ Roy Caburn _
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5wwn fo and subsuibed before me this 11 th__ day of ~_--_--____.~Ctt~b~]C ~q 65
ROGER ~ItRAS - - - -
CLERK CiRCU1T CAURT Notary Public
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gy , ' .r1~~`~-` D.C. My Commission expires
(To bs oxscuMd in d~plitate snd original ~iled with Clerlt Circuit Court, snd duplicat~ with Tsx Ass~ssor.)
BO~~t JUV
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