HomeMy WebLinkAbout0550 Declaratio~ ot Domicile a~d Citize~ship 1433p5
TO TME STATE ANO COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
~n conformity with Chapter 224, Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~lfOtd ` COIl11@Ct1bUt
(City) (Stab)
46 Milford Point
and I resided at - - - However I have changed my domicjle
(Street and Number)
ro and am and have been a bona fide resident of the State of Flo?ida since day of
March 66 220 8each avenue, River park
- - - 19 and I reside at _ -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FlORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pettinent facts, such as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Enter~ng Patti Jester in school D .
a?~, ~ ~a~C'~*Q ,
F!E .iV ~E~CQ~ DED
. ~1f~g~_~~u ?OOK
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. . . - ~~rn 4 P~1 L ' 35
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~ ~'.~^`h' - - _ ~ 14330~ _
ROC~ . i~;:, t,! c~K
~ ~ - . _ ~ . ' ST. 1:liCt= i,~JU?JTY.
- - - FL.ORiDH
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~ I FURTHER CERTIFlf that I will oomply with all other requiremenfs of a legal resident of this State.
~
~ 1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and 1 intend to remain in FORT ~
PIERCE, SAINT LUGE COUNTY, FLORIDA, permanently. !
~ •"i'tr:,..,. • ,
- - . . _ ~.t i
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~ 1;~; . walter Jester :
~ ~ ~ . ~
~ , ~ ' . (Address)
~ -
~ . - c;~~:, 4 March 66 ~
~ S~ivoY~i'fo`and subxribed before me this day of , 19 . t
~ ~
~
~ ROGER POITRAS
~ CIRC COUitT Notary Public
~
~ By D.C. My Gommission expires
~
~ (To b~ ~x~cuhd in duplicah and oripinal f~d with Cl~ek G~aiit Court, and duplieal~ wiN~ Tu Ass~or.)
~ °R139 54?
~ 600K
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