HomeMy WebLinkAbout0499 Declaratio~ ot Dornicile and Citizenship 9
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10 THE STATE AND COUNTY TAX ASSESSOR, ~ 143~68 ~
Sl. IUCIE COUNTY, FIORIDA:
This is my detlaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in atoordants and
in conformity with Chapter 222, Section 222.17. Fiorida Statutes.
t was formerly a(egal res~dent oF Fort I.e@ N~W lerseq
(Ciy) (State)
2342 Franklin Street
and I resided at ^ _ However I have changed my domitile
(Street and Numbe~)
to and am and have been a bona fide ~esident of the State of Floridn since 15th dsy of
_ SeQtember , ~q 65 and I res~de at 151 Serenada Court
(Street and Number)
FORT PIERCE, SAINT LU~IE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Inse~t here any pertine~t facts, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applyin~ ~or hop?esfead _
F~l; .9 REC RDEO
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i " ~ ~ ~ '66 MAR 14326805
i .,,;~it1~:1:1:;~:,,
~ ~~~fv ~-,R~GER POi i iZAS. CLERK ~
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~ •e ~T. LUCIE COUNTY.
~ - ~ • ~ " FLORIDA
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'Y:.
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~'C ; i.:l F(1,A~liER CERTIFY that I will oomply with all other requirements of a legal resident of this State.
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1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ ~ i . ~
~ : (Name)
~ : ' _ Joseph Granquist
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~ ~1 . . , - ~;J } : (/~C~fCSS)
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~ ~ 3rd March 66
~ SWwn~w~5nd subsuibed before me this day of , 14 .
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~ ROGER POITRAS
` CIRCUIT ~O~lRT Notary Public
1/
By ~D~ D.C. My Commission expires
(To 1» ~x~cut~d in duplicaN snd oripinal Rl~d wHh Cl~lc Cirwit Cowf, snd duplicat~ with Tau As~saor.)
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