HomeMy WebLinkAbout0709 r
Deci~rati~~ oi aor~lcit~ and Cltlzenshlp ~
TO THE SfATE .4ND COUNTY TAX ASSESSOR, 1~P~~V
51. lUC1E ~OUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aaoordant4 and
in conformity wilh Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of Hiahpoint North Carolina
(City~ (State)
and 1 resided at 106 West Sprillgf iE ld _~~„~ever 1 have cfisnged my domitile
(Street and Number)
to and am and have been a bona fide resident of ihe State of Florida since 15 day of
_ August , 19 66 ~ and I reside at 514 S. lith Street ~
(Street and Number)
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FORT PIERCE, SAINT tUCtE COUNTY, RORIDA `
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicife in the Sfiate of Horida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employmer~t ~
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
~ Establishing residence
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Enter~ng John Strovd in 8th Grade ~ ~
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~ 1 FURTHER CERTIFY that I will oom~l~ with all other requirements of a legal resident of this Stste.
I FURTHER CERTIFY that I have no intention to return to my former domiqle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently.
" :r:r::,i:~{.. ~
~ .ti` ~ J : -j . %f, ~ . I
; . (Name)
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~ Juanita Stroud
~ " rr ra :7 _ :;,~•~s.,.,
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: ,r ~4:~,-: ~~i: (Address)
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~s~ S'v~qtj,r,fd'.ar~d~~iib3cribed before me this 6 day of Se emb~r ~ 19 66
~ •':~1'.fNt~ ,
~ RO~iER POITRAS
~ CI UR COURT Notary Public
~ By ' D.C. My Commiu;on expires
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(To b~ ~x~cvfed in dupliute and ort~pnal ~+Isd witl~ CIKIc Circui! Court, and dupli~at~ with Tax Ap~s~or.)
~ooK 154 ~.09
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