HomeMy WebLinkAbout0382 DeClaration ot Domicile and Citisenshtp ~
14'~'3
TO THE StATE AND COUNTY TAX ASSESSOR,
Sj. LUCIE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citi=enahip in the State of Florida that 1 am filing this day in acaordanoe and
in conformiy with Chapter 222, Section 222.17. Florida Statutea.
1 was formerly a legal resident of ~ Bath _ pa~
(Ciy) (Stats)
and 1 resided at Rt. 1 BOX 36 ~„„ever t have cha~nged my domic.ile
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since 18th day of
August 19/'/~ ~~s~ 1403 Plorida A~e.
, (p1~, de at
_ (Street a~d Number)
fORT MERCE, SAINT l~.~CIE COUNTY, RORIDA
and this statement ia to be taken as my declaration of citizenship, actual lega! residerxe a~d domiclle in the State of Horids.
(Inseri here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
at fwmer domicile, removal of family to new domicile, purchase of home, etc.) -
Bntering three (3) children in pubiic Schools
S.
HAROLD WpRNBR (17yrs) ~II.ED AND RE
s~. LUCIE CDUN~~.
DEBRA LgB BOND (9 qrs) ~ECO ~ VER~FIED
Jx.
CURTIS LBROY ~C?ND,(8 qrs) :
66 AJG 26 AM 9: 35
14~y`~'3
F:O;; t R i~OfTRt.S
CLERK CIRCUIT COURT
1 R1R7HER CERTIFY that I wil! comply with all other requirements of a lega) resident of this State.
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~ ! FURTHER CERTIFY that I have no intention to return to my former domicjle, and t intend to remain in FORT
f
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' 26th August 66
~~.~;d ai~d,subscribed before me this day ot , i9 .
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~ CLERK IRCU URT Notary Public
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~ BY ~.C. My Commission expires
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~ (To b~ ~x~cuhd in dupljcat~ and ori~inal Rl~d with C{~tc Ci~wh Cour~, and duplicat~ wifh Tax Ass~or.j
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