HomeMy WebLinkAbout1849 Dectaratio~ ot Domicile and Citizenship ,p ~
TO THE STATE AND COUNTY TAX ASSESSOR, 1 C~c~ j,`~,
51. LUCIE COUNTY, FLORIDA:
This is my decla~ation of Domicile and Citizenship in the State of Fiorida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I wai formerly a legal resident of _ A11~T1tOwI1 New Jersey
(City) (State)
and I resided at _Rt. 1 _ However I have changed my domitile ;
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 11th_ day of {
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Feb. b6 4906 Barcolona Ave.~ - ~
- - . _ _ . 19__. _ and I reside at ,
(Street and Number)
FORT PIERCE, SAINT WCIE COUNTIf, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the State of Horida.
(Insert here any pertinent facts, such as sate of property or bvsiness, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) {
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Establishing residence ;
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I FURTHER CERTIFlf that I will comply with all other requirements of a legal resident of this State. ~
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I 1 FURTHER CERTlFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
~ PIERCE, SAI~T+~UCIE.COUNTY, FtORIDA, permane~tly. ~
i ' • . ' ' t / ~
, yt' X (Name)
. ~ ~ ~ " y ~lax Scheibner i
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; c,0-',~~~ Emmy S ei~ner
•l::t:re:1~~'~,t~
Sworn to and subscribed before me this 31 day of March ~ ~q 66
ROGER POITRAS
K CIRCUIT C URT Notary Public
~2-c~zt~ ~
8 D.C. My Commission expires
(To bs ~xecuted in dupliuta and originsl filsd with Clerk Circuit Court, snd duplicate with Tax Ass~ssor,)
gooK 142 y :45 !
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