HomeMy WebLinkAbout0494 i
Daclaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ' ~ 146289
Sl. LUCIE COUNTY, FIORIDA:
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This is my detlarotion of Oomicile and Citizenship in the State of Flotida that I am filing this dsy in actotdante and (
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in co~formity with Chapte~ 222, Sectio~ 222.17, Florida Statutes. ;
I was formerly a legal resident of ChetR ahBBe ~P~18Dd _
(City) (Stab)
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and 1 ~esided at D91tOA ROad • However 1 have cfianged my domicile
' (Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ g~u!"~eenth day of `
February 6_ 2845 Treasure Ieland Road
, 19~ , and I reside at
POY`t St. LLtCle(Street and Number)
~'lorida. 33~54
FORT r1ERCE, SAIN? LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaratio~ of citizenship, actual lega) residence and domicile in ihe State of Florida.
(Insert he~e 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, ett.)
Property on Dalton Road in liaxyland le baing closed anQ will be eold
sa sooa as a suitabla b~uyer c~n be fowld. The applicant hae been
retirad einca 1960
FILED AN6 RECQRD6p
ST. l.~~~E ~OUNTY. FL,~,
~nm~mm~ RECORD V~R~F~EO
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1 FURTHER CERTIFY that I will oomply with al) other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my domi and~e main in FORT
PIERCE SAINT LUCIE COUNTY, FLORIDA, permanently- ~~~~t~~~ .
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- Amella 0. hsnk - .
(N me)
2845 Treaeure Ialand Road
Port St. Iucie, Florids 33~50 `
(Address) ,,~,~:ui:';;'-~`..
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Sworn to and subscribed before me this day of ~ ~ 19~•
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ROGER POITRAS ' '
.
CIERK CIRCUIT COURT Notary Publit~,
. ~f'••......• . '
g D.C. My Commission exp~res '~~i°`"f"~ ~h~' ~a?~u~ry 2, 1961
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(To b~ ~x~cut~d in dupliuM aod originsl ~il~d with Cterlc Grcuit Cour~, and duplicst~ with Tax Ast~or.)
OR ~
aooK 148 493
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