HomeMy WebLinkAbout0380 Decls~ation of Domiclle and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR, 14'~97,i
51. LUCIE COUNTY, fIORIDA:
This is my declaration of Oomicile and Citizenship in the State of F~orida that I am filing this day ln eaardanos and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
I was fo~me~ly a legal resident of Springfield M~iSS•
(City) (State)
arx! 1 resided at 241 College St. . Howevaf 1 have chan~ed my domicile
(St~eet and Number)
ro and am and have been a bona fide resident of the State of Florida since 20th day of
1001
Ju1~` 66 ~l Ave. B
, 19 , and 1 raside at
(Street and Number)
fORt PIERCE, SAINT LUClE COUNTY, RORIQA
and this statement is to be taken as my declaration of citizenship, actual legaf residence anci domicile in the State of Florida.
~ (Insert here any pertinent fads, such as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new domicite, purchase of home, etc.)
Sntering two children in Public Schools P'1LE9 ANp RE~
3T, lUC1E C~UNT~Y. R~.
RECORD V~R~F~EO
KBVIN BUGENB ROBINSON ~10 yrs)
'ss ~~l--~ . _
DARRYL ALONZq ROBINSON (6 qrs) 26 ~ 9.35
;~0~4`~0~`~'~ S
~Person signing this fora is the grandmother of ~~~~e~~~~mti~dp~ST
children, has had custody of children since birth.'•
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~ I FURTHER CERTIFY that 1 will comply with atl other requiremeMs of a legal resident of this Stata.
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~ I FURTHER CERTIfY ihat 1 have no intention to return to my former domiUile, and I intend to remain in FORT
PIERCE, SAINT LUCIE C0t1NTY, FLORIDA, permanenfly.
E ^ y i
~ (Name)
t ~,.,ti~,
~ • Lillie Mae Robinson
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~ : ~ r~~>~G~ (Address)
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` ~ y ~ ' 26 th
~ ;-~,~iy?arq~flC~1d.'subscribed before me this day of AuguSt ~ ~q66 .
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:s::ROd'~R POiTRAS
~ ELERK ~IR COURT Notary Public
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~ BY D.C. My ~ommission expires
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~ (To b~ ~x in duplicsh and original Rl~d with Clerk Grcuit Cou~f, and d~plicah wiTh Tax As~s~or.)
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~ ° R ~.53 380
~ 600K
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