HomeMy WebLinkAbout0339 Oeciaration ot Domicile and Citisenship '9
14'~J43
TO THE STATE ANO GOUNTY TAX ASSESSOR, ~
Sl, lUC1E GOUNTY, FIORIDA:
This is my decla~ation of Domicile and Citiienship in the State of Flo~ida that 1 am filing this day in accordante and
~n confo~mity with Chapter 222, Sectio~ 222.17, Florida Statutes.
I was formerly a legal ~es~de~t of Milton _i~___ Kentucky
(City) (State)
and 1 resided at ----_-~Rt---_ However 1 have changed my domiCGle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ___23rd day of
August , 19 66~ a~d I reside at _ 305 So 13th street i_
(Street and Number)
FORT PIERCE, 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 facts, such as sale of prope~ty or business, or ~elinquishment of emptoyment
at former domicile, removal of family to new domicile, purchase of home, etc.) -
Bntering Judy K Napier in the lOth grade FILEO ANB RECOR6Ep
sT. LUCIE COUNTY. F1;A, ~
Darlene Fay in the 9th grade REC07p y~R~F~EO ~
~t S~ephen io tne 6th grade 'ES Al1~ 25 q~ 9; 36
Donna in the lst graae 147'943
ia+7`v~?'t r'U17R:.S
CLERK CIRCUI7' COURT
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' 1 FURTHER CERTIFY ihat 1 wil) comply with all other requirements of a legal resident of this State.
I FURTHER CERTtFY that 1 have no intention to return to my former domitjle, and I intend to remain in FORT
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i PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ -;.c'' ~ ~p~ f (Name) ,
~;wQ~; = ~ Thelma Lavern Napier
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; `<«~SWd~~to and subscribed before me this 25th day of _ AuguSt ~ 19 66
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; ROGER POITRAS
~ CIRCUIT COURT Notary Public
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; B D.C. My Commission expires ~
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~ (To be executed in dupliute snd originsi fited wi~h Cierk Grcuit Couif, and dupliuts weth Tax Asssssor.)
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