HomeMy WebLinkAbout1429 DeClaration at Domlcile and Citisenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the Sta~e of Florida that 1 am f+ling this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Allenwood New Jersey
{ was former~y a legal resident of _ - _ -
(City) (State)
Rams Horn Drive
and 1 resided at _ _ _ _ _ _ _ . _ . Howeve~ 1 have changed my domitile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since 12___~-, ` day of
July 6b 5601 Melville Road
_ 19----, and 1 reside at
(Street and Number)
fORT PIERCE, SAtNT tUC1E COUNTY. KORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicife in the State of Ftorida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employmerit
at former domicile, removal of family to new domicile, purchase of home, etc.) :
~nterinti son in lst Grade ~
FILED AND RECOROED ~
ST. LUClE COUNTY. FLA.
RECORD ~'ERI ED
~ '~S „'•_~4 13 AM 9:34 ~
146842 t
. ~1Q_;i_s-! ~-v:TRMS
CLERK CIRCUIT COURT
,I
~I 1 FURTHER CERTIFY that 1 will comply with all other requirements of a tegal resident of this State.
! FURTNER CERTIFY ihat I have no intention to return to my former domicjle, and 1 intend to remain in FOR7
PIERCE, SAINT LUCIE COUNTY, FLORtDA, permanently.
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~ ~ ~ Betty Clayton
' ~ • • = (Address) ti
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,~viiotr~ ip and.subscribed before me this 13 day of JulY , 19 66. !
. ,
i
ROGER POITRAS i
,
C IRCUIT COURT Notary Public !
By D.C. My Commission expires
(To be execute.: in duplicate and originsl ~ilsd with Clerk Grcuit Court, and dupliute with Tsx Asses~or.)
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