HomeMy WebLinkAbout1709 Declaratio~ of Dor~icile and Citizenship ~
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TO THE STATE AND COUNTY TAX ASS~SSOR,
51. LUCIE COUNTY, FLORIDA:
This is my dec(aration of Domicile and Citiz~nship in the State of Florida that 1 am filing ihis day in atcordante and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
i
i was forme~ly a tegal resident of N.eWtQI1 _,__IOw3
(City) (State)
and I resided at _ _ _ _ _ _ _ _ _ _ _ However I have changed my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since day of
~prll , 1957__, and I reside at 502 Ulrich Road
(Street and Number)
PORT PIERCE, SAINt LUCIE COUNTY, fLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence a~d domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicite, remova~ of famity to new domicile, purchase of home, etc,)
Establishing resi::ence
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I FURTHER CERTIFY that I wil( comply with all other requirements of a Icgal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domic,ile, and I intend to remain in FORT
PIERCE, SAlNT LUCIE COUNTY, FLORlDA, permanently.
1
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..`'~1-- Daniel C.~~~o~rmant
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;~,'••SGr4~~n'~~aqi~! subscribed before me this _ 29th day of March ~ ~q 66
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ROGER POITRAS
; LERK. CIRCUIT OURT Notary Public
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gY' D.C. My Commission expires ~
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(To bs executed in duplicate and originsl filed with Cle~lc Circuit Court, and duplicate with Tsx Assessor.) ~
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