HomeMy WebLinkAbout0273 Oe~iaratlon ot DomiCile and Cftisenship ~4~w~ ~
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TO THE STATE AND CWNTY TAX ASSESSOR, .
51. lUC1E ~OUNTY, FLORIDA:
This is my declaratio~ of Oomicile and Citizenship in ths State of Fiorida that I am filing this day in aooordanos and
in oonformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was forme~ly a legal resident of • AtlantiC BC8Ch F18.
(City) (State)
and I resided at _ Z005 MBy~Ort ROSd ~Wever I have changed my domkile
(Street and Number) ,
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to and am and kave been a bona fide resident of the State of Florida since 16th day of
Augu~t , ~9 66, and 1 reside at 1513 Havanna AVe..
(Street and Number)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Horida.
qnsert here any peninent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bnteriaq child in school
( Joseph BdMard Tka+csik
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ANp RE~O ,
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I RIRTHER CERTIFY that I will oomply with all other requirements of a lesal resident of this State.
1 FURTHER CERTIFY that I 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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„ .....,r,, (Name)
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:~:;;.:;~~,~3~~'~°~;.'~-'"~., Gladys Hutchinson
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'~:,:.~qcn•tt'i and subscribed before me this 23 day of AUguSt , ~q~._,
ROGER rO1TRAS
CIRCUIT RT Notary Public
By D.C. My Commiuion expires
~Te b~ ~x~cuhd in duplicat~ and ori~nal Al~d witb Cl~rlc Urarh Cour1, and duplicsb wHh Tax A»~ssor.)
aooK 153 273 ~
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