HomeMy WebLinkAbout1332 Declaration ot Domicile and Citize~ship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the Stare of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section ~22.17, Florida Statutes.
Burlingame California
1 was formerly a legal resident of _ _ _ _ -
(City) (State)
and I resided at _ __1400_F10IibU1lda AVenue_ . However I have changed my domit,G~e ;
(Street and Number) ;
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to and am and have been a bona fide resident of the State of Flo~ida since 15 _ day of ~
July _ ~q_ 6S and I reside at Route 2 Box 3310~ Lakewood Park_
(Street and Number)
fORT PIERCE, SAINT lUC1E 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 pertinent 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.)
FrC ~NC REC
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stablishing residence .P, ~ ~~pw~ ~
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this Sfefe.
I FURTHER CERTIFY that I have no intention to return to my former do~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
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~ . . ' , - . . - (Name)"'
~ ' ,
$ ' ~ ~ " Frank J. Kennedy
~ - ' . , - (Address)
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~ Sworn to a~~'subscribed before me this 21 day of - ~rCh ~ 19 66
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~ ROGER POITRAS _ ~
~ LERK CI UIT COURT Notary Public ~
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~ By ' D.C. My Commission expires
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~ (To bs sxecuted in duplicate and original ~iled with Cleric Circuit Court, and duplicate with Tax Ass~s~or.) ~
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