HomeMy WebLinkAbout2091 ~eclaration ot ~orr~icile and Citizenship ~ ~
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TO THE STATE AND COUNTY TAX ASSESSOR, i
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Sl. LUCIE COUNTY, FLORIDA: 3
This is my declaration of Domicile and C~tizenship in the State of Florida that I am filing this day in accorda~ce and ~
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~n conformiy with Chapter 22Z, Section 222.17, Florida Statutes. ;
Valdosta Georgia
I was formerly a lega! resident of _ _ _ _ _
(Ciry) (State)
ROU te 1 B07c 168 , f~lov,iever 1 have changed my domiCile ~
and I resided at - _ _ t
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ___3 day of
` MarC_h t9__b._b_, and I reside at ~1LTExxas Cp.~=rt
(St~eet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, ~LORIDA
and this statement is to be taken as my dectaration of citizenship, actuat tegal residence and domicile in the State of Florida. ~
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(Insert here any pertinent fads, such as sale of propery or business, or relinquishment of employment }
at former domicile, removal of family to new domicile, purchase of home, etc.)
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F1LE0 h„!D P,E ORDED ~
Entering Jackie Hob good in lst Grade 'Q~icinl-R ~?OOK ~
~ 1!"" 4~1 q 7
1441~t) ~
k06i_:. . _ ~ . . . ~~~RK ~
ST. LJ~iE C~JUP:TY,
F~t1RIDA
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i FURTHER CERTIFY that I will mmply with al! other requirements of a legal resident Of't~t~StatA:
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1 FURTHER CERTIFY that I have no intention to retum to my former domiCile, and t iafend to r@niain.•in=F:ORT
PIERCE, SAWT LUCIE COUNTY, FLORIDA, permanently. ~
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_ . ~ ~ - ~ • (Name) }
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. i , : ' : . Char Ie s Hob~ood t
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Sworn ~tor •and' subscribed before me this 4 day of - ADti 1 , ~ q_~ fi
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ROGER POITRAS ~
CLERK C UIT COURT Notary Public
ay U.C. My Commission expires
(To b~ executed in duplipte s~d orisinsl ~iled with Clerk Grcuit Courf, and duplicat~ with Tax Ass~ssor.)
BooK 142 2~6
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