HomeMy WebLinkAbout0632 DeCla~ation ot Dor~icile and Citlze~ship ~
14334`~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Flo~ida that 1 am filing this day in acoordance and
in conformiy with Chapte? 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~es~dent of __St. Char les D11inO1S
(City) (Stafe)
517 Walnut Avenue
and 1 resided at However I have changed my domitlle
(Street and Number)
b and am and have been a bona fide resident of the State of Florida since 10 day of
November 65 366 Ashley Street
, 19 and I reside at
(Street and Number)
PORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, ~ctual legal residence and domicile in the State of Horida.
(Insert here any perti~ent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence ~IED AND RECORpFp
~i~(.7 900K
'S6 ~f'~~ 7 P
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ROG~~ ~~~i i
ST. LV~~t COUNTyRK
FLORIDA ~ ~
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I FURTHER CERTIFY that 1 will com I with all other r uirements of a I al resid ~ ~'"'°:'~e~'t',`~.~
P Y ~9 e9 ~fl~.: . : _
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I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I intend to ~remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. .
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_ :`~N~~~~~~
' * . Name)
.
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- ~ ~ ~ . _ Bobby ~ggert
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= ' ~ : F~`: z~= , . : + (Address)
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.~~{!'i,.;;~~~vli4r,t?~1o and subscribed before me this 7 day of ~rch 19 66
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CIRC COURT Notary Public
Sy D.C. My Commission expires
,
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(To b~ ~x~eut~d in duplicsb snd oripinal fil~d with G~k Circuit Court, snd duplieah with Tax As~or.)
sooK 140 _ . 29
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