HomeMy WebLinkAbout0224 _ I
D~cla~ation ot Dor~nicfi~ and Citise~ship 14'7872
TO THE STATE AND COUNTY TAX ASSESSOR,
51. ~UCIE COUNTY, FLORIDA:
This i: my declaratio~n of Oomicile a~d Citizenship in ths State of Florida that 1 am filing this day in acoordano~ and
in aonformily with Chepter 22?, Snction 22Z.17, Florida Statutes.
I was formerly a legal resident of Pu•
~ (City) (Stah)
and I ~esidad at 5480 S. Orange Blossea~ Tiail .~„~ver 1 have charq«! my domicjle
(Sheet and Number)
tc+ and am ~and have baen a bona fide r~ident of the State of Florids _sinoe 6th ` day of
Auguat 66 3546 3. Pederal HighMay
, 19 , and i reside et
• (Street and Numbsr)
I~ORT M~Cl, S~AINT LIJCIE COUNTY, RORIOA .
and this statement is to be taken as iny declarotion of citizenship, actual legal residence and domidle in the State of Horida.
, pnsert here a~y pertinent facts, such as sele of property or business, or relinquishment of employment
sf former domicile, removal of family to new domicile, purchase of home, e~.)
BNTBRING ONB CHILD IN PUBLIC SCHOOL ~
TAMARA LYNNBTTB WIISON (T yrs.) -
P1LE0 AN0 RE~
ST; IUCIE COUNTY. Ifi~#.
~ RECORD VERIFIEO 14`78'72
'66 AUG 22 AN 11:24
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''i P.UG~ P 'OITR~S
CLERK CIRCUIT COURT
~ I RJRTHER CHtTIFY thst I will oomply with all other rsquirements of a lepal resident of this State. ^
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~ I FURTHER CERTIFY that I have no intention to retum to my former domitile, and 1 intend to remain in FORT
PIERCE, SAINT IUCIE COUNTIf, FLORIDA, pe~manently.
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; ::.:..:.r.~ ~ : , ~ - 22nd August 19 66
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~'~idin~rid~subscribed befo?e me thia day of , . -
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~ ROGER
CL~K C C Notary Public
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By D.C. My Commiss'wn expires
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~ Re b~ ~oaouhd duplicah and oriyinal fil~d witb CfKk Cirarit Court, and dupliata vrH1~ ~ax As~or.1
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