HomeMy WebLinkAbout2090 Declaration ot Dorr.icile and Citizenshid ~-1 ~i 9
TO THE STATE ANU COUNTY TAX ASSESSCR,
51. LUCIE COUNTY, FIORIDA:
This is my ~eclaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
W andanch I,on Islaad
I was formerly a legal resident of - _ Y _ _ _ g
(Ciy) (State)
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and t resided at _ 38 MG@Ue ~ . Nowever 1 have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the Stale of Florida since 27th day of
A~arCh 19_ 66~ and I reside at _____~~B~x 3424 Ft, PiezCe
(Street a~d Number) ~
FORT PIERCE, SAINT LUCIE GOUNTY, FLORIDA
and this stateme~t is to be taken as my dectaration of citizenship, actual legal residence and domicile in the State of Florids.
(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.) '
Bntering one student in shhool ,
FIL D AND RECORDED ~
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,66 Ap(~~ ~~~G'~..QJ-~
4 AM ~I; ~0
ROGEf? ~t?A j4 ERK ~ ,
~ST. LUCIE COUNTY, ~
FLORIDA
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I fURTHER CERTIFY that 1 wil) mmply with a!I other requirements of a lega) resident of th1~ Sfsf~.
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I FURTHER CERTIFY that I have no intention to return to my former domicjte, and I intend to'!rerneir~,~n fORT
' PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently_ ~
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; • ~ Felix S. Bonkowski
E ~ _ . ' • . - (Name)
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• ~ (Address)
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Sworn to and subscribed before me this 4tb day of Aprll , ~q 66
ROCER POITRAS
CLERK CIRCUIT COURT Notary Public
BY ~~~1`r D.C_ My Gommission expires
(To be sxecuted in duplicate and originsl filed witl~ Gerk Grcuit Courf, and dupfiuM with Tax Ass~ssot.)
BOOK 142 ~ 28~
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