HomeMy WebLinkAbout0520 14g(~i~
Declaratio~ ot Domicile and Cittzenship S
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship i~ the State of Flo~ida that I am filing this day in accordance and
in conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
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1 was formerly a legal resident of N_4..rth~4]LO A~Q -
~~;fy~ (State)
and 1 resided at ___61 _ B___ M2tiI1 Street However 1 havechanged my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since . 15th day of
At1~uSt ~ 19 65 ~ and I reside at Indrio_ Ha Fe~era~
(Street snd Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, ad~al legal residence and domicile in the Stare of Horida.
(Insert here any pertinent fads, such as sale of property or business, or ~elinquishment of employment
at forme~ domicile, removal of family to new domicile, purchase of home, etc.)
fintering Nancy Abbott in the 6th grade
Nancy went to school in New Jersey last year
ANO REN
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( C~ERK C~RCV`~ C
1 FURTHER CERTIFY that t will comply with al) other requirements of a(egal resident of this State.
I FURTHER' CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
. L .
PIERC~; SAIN~' CUCIE COUNTY, FIORIDA, permanently.
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:~'-a~`'": i•t,: .°r ; (Name) 1
~ ~ Shelia Abbott
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. Sworn to and subscribed before me this . 30th day of ~~uSt , 19~.f2.
ROGER POITRAS
CLERK CIRCUIT OURT Notary Public
gy D.C. My Commission expires
(To b~ ~xecuted in duplicafe and originsl filed with Cltrk Grcuit Court, and dupliut~ with Tax As~essor.)
sooK 153 520
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