HomeMy WebLinkAbout2375 Decla~atlon ot Dorniclte and Citizenship
. i4'736$ ;
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, FLORIDA: •
This is my detlaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance a~d
in cor~formity with Chapter 2?2, Section 222.17, Florida Statutes.
I was.#ormerly a legal resident of ~~g~n K@ntuClQt
(City) (State)
and t resided at xAaon Road , However 1 nave changed my domicjle
(Street and Number) ~
to and ~am and have been a bona fide resident of the State of Florida since 1~ day of
T J~Y_-- , 19 and I reside at T~°P~~rYi' 3i5 ~ 2~st ~tY'set
(Street and Numbe~)
FORT PIERCE, SAINT LUCIE COUNTIf. fLORIDA .
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 facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new dumicile, purchase of home, etc.) ~
Carl ~omas has besn in the ~ir Force and is nor discharged~ hia address in
Imetker the past haa varied lro~e city to citp- dae to transfer-
He ia nox aettling here as his home and xill enter hia
aon in lat grade in the fall. ~
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FILED AND RECORDE~
3T. LUCIE COUNTY. FLA. ;
RECORO VERIFIED F
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'66 AUG 3 AM 9: 3 8 s
14'7368 ~
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~io~~R ~•OrTRaS ~
CLERK ClRCUlT COURT ~
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1 FURTHER ~ERTIFY that 1 wil) comply with atl other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that ! have no intention to return to my former domic~le, and I intend to remain in FORT ~
PIER~,.Sy4114=.~J~C1E COUNTY, FLORIDA, permanently. ~
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Swom to and subscribed before me this 3~ day of _ ~~ust , 19~ . ~
ROGER POITRAS
~ K CIRCUIT OURT Notary Pubtic
a,.~,.Lt~G- ~~~:.~C~.2~
gy D.C. My Commission expires
(To bs execuhd in dupticaM snd origina! filed wi~lt Clerk Grsui! Courl, snd dupliuts with Tax Ass~ssor.)
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