HomeMy WebLinkAbout1032 Declaration ot Domicile and Citizenship ~ ,
1435:~2
TO THE STATE AND COUNTY iAX ASSESSOR,
Sl. LUCIE COUNTY, FIORI~A:
This is my declaration of Domicile and Citize~ship in the State of Florida that I am filing this dsy i~ atecrdants and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~esident of ~d~~_Q~i~B ~~SDS -
(C;ty) (State)
• 7531 E. PeQWAy 3~@@t However I have chan m domic,ile
and I resided at - - - - _ 9~ Y
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida since _~e _ day of
~~lCh _ , 19
~ , and 1 reside at _ Lucie ~
(Street and Number)
PORT 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.
(Inse~t here any pertinent 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.)
I bave been in the U. S. Army eiace 194i. From I960 to 1963 I vras a
legal reeident o~ Indiana but have eoid my property in that etate. I am
purchasing three iots ia the General Deveiopment at Port St. Lucie and
~vish to declare Fiorida ae my legai home etate. My preeent inteation is
to ret~ce in Fiorida on completion of my military eervice.
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'..a,~;t: ;c~ FILEO :.ND RECOR~EO
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~ ~ ~:._r,~S. CLERK
ROG~~:
Si. LU*O~ g~ ti i Y.
~ 1 FURTHER CERTIFY that I will comply v~ a t er requirements of a(egal resident of this Stste.
~
I FURTHER CERTIFY that 1 have no intention to return to my former domic,ile, and in end to remain in FORT
PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently. i
l(. ~
oren H. WH1TE, Lt Col, U8. Army
~ (Name)
~ PANDA Divislon, HQ, SHAPE
~ APO New Yort 09055
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~ (Address)
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~ Swom to and substribed before me this d , 19 .
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N. V:'- ~ ~fIB. Army
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g ROGER POITRAS . ,
CLERK CtRCUIT COURT . N. Publ' ~ '
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ey D.C. My Contrt~i3siQn ~ei ' •
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Qo b~ ~x~cut~d in dupliut~ and oripinal ~ilsd wi~ qe~lc Cirwit Court, snd duplicaN with Tax Asse~or.)
- ~ aooK 140 429
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