HomeMy WebLinkAbout2020 Declaration o! Domicfle and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR, 14'7194
Sl. LUCIE COUNTY, FlOR10A; ~
1
This is my declaration of Oomicile and Citizenship in the State of Fiorida that I em fil+ng this day in acoordante and ~
in conformiy with Chapter 222. Section 222.17, Florida Statutes. -
1 was fo~merty a legal reside~t of G~~soIl i " Colorad0 _
(City) (State)
2$ Beckvith Hall
and 1 resided at However I ha.a changed my domitile :
(St~eet and Number) ~
to and am and have been a bona fide resident ef the State of Florida si~ce ___2~ day of
J.~_---- . 1~ and 1 reside at ~ 10 So 25th Street
~ m_ ~s~z(Street and Number)
FORT PIERGE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.-
. (Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence ST ~E~ AND RECpRpEo
ECO~RO
y V~Y
ERIFIEpLA.
'ss ~I~[ ? 6 ~
9•21
CL E~~~~
ERK CIRCUJT C ~
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~ 1 FURTHER CERTIFY ihat I will comply with all other requirements of a legal resident of this State.
! FUR7HER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT tUCIE COUNTY, FLORIDA, permanently.
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C ~?~rrGt~.arid subscribed before me this 26$h day of J~ , i9
~ ER POITRAS .
CIRCUIT OURT Notary Public
Q-c.+~.L
By D.C. My Gommission expires
(To be sxecuted in duplicate snd originsl filed with Clerk Grcuit Court, snd duplicst~ with Tax Ass~ssor.) ~
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