HomeMy WebLinkAbout0711 Deciaration ot Dornicile and Citizenship
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TO THE STATE ANU COUNTY TAX ASSESSOR, !~`~U
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicite a~d Citizenship in the State of Florida that I am filing this day in accorda~ce and
in conformity wifh Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal res~de~r of Kannopolis _ North Carolina
(City) (State)
and I resided at _.._.__119 Hemlock However I have changed my domitile
(Street and Number)
ta and am and have been a bona fide resident of the State of Florida since _ 2_7.th_ day of
Februar~_ 1966 , and I reside ar _ 1217 Orange el~e.
(Street and Number)
PORT PIERCE, SAINT WCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering child ir~ school
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- D AN~ REC~R~
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~ ;;,:I~i~=~~~Nt~HER CERTIFY that 1 will comply with all other requirements of a legal r@sident 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
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= PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
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~ ; - . (Name)
~;.t:: ~ ; Linda Fisher
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~ ''-~1KA14'~6~3qd subscribed before me this ~iCh 66
. _ ` day of , 19 .
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. ROGER POITRAS
f LERK CIRCUIT URT Notary Public
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3 gY D.C. My Commission expires
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_ (To be ~xecuhd in dupliufe and original filsd wit1~ Cleric Grcuit Court, and dupliat~ with Tax Ass~s*or.j
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