HomeMy WebLinkAbout0795 ~eclaration ot Domicile and Citi:enship
TO THE STATE ANO COUNTY TAX ASSESSC)R, ~
si. wciE couNnr, F~oR~oA: 1464'71
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapte~ 222, Section 2?Z.17, Florida Statutes.
I was forme~ly a legal resident of __l.ibPr~~ll~ _ I11~ _
(Ciy) ' (State)
RFD 1
and 1 rosided at B07c_ 74 B ZOCklSnd Rd However 1 have changed my domic3le
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ____8thi day of
_F~htuarq , 19_ 6¢ and I reside at 419 CoCOnut Ave. Rv Park
(Street a~d Numbe~)
PORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, adual lega) residence and domicile in the State of Horida.
(Insert here any pertinent facis, such as sale of prope~y or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residency
D
o pN~ ~uN~o~ A•
F~~-4 ~~E ~ ~Ea~F~E°
S1. R~CpRD
3 ~ 4~
21 p~ ,71.
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I FURTHER CERTIFY that I will comply with all otfier requirements of a legal resident of this State.
1 FURTHER CERTIFY that 1 have no inTention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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Bernard ~Name) Hessli g
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: Johanna F Hessling
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~ j)C t'£SwFtn to and subscribed before me this 27th day of uIIe ~~q 66
ROGER PORRAS
CIRCUIT URT Notary Public
ct.~-~•t.~
gy D.C. My Commission expires
(To b~ ~x~cut~d in dupliub snd ori~inal fil~d with CIKIc GrcuH Cour1, snd duplicat~ with Tsx Ass~stor.)
~ gooK ~49 194
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