HomeMy WebLinkAbout0730 Oeclaration ot Domlcfl• and Citizenshlp J
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA; •
This is my declaration of Domicile and Citizenship in ths State of Flo~ida ihat t am fili~g this day i~ aooordance and
in conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
I was fo~merly a legal res~der~t of ^ p~ INV IBW N. Y.
(City) tState)
and 1 resided at 14 Frtd@riCk Dr. ~Wever I havechanged my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 19th_____ day of
August , 19 66 ~ and 1 ~eside ar Fleets Inn,Jensen Beach
(Street a~d Numbe~)
FORT PIERCE, SAINT LUCIE COUNTY, FLORiDA
and this statement is to be taken as my declaration of citize~ship, actuat legal ~esidence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, o~ reiinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Will move to new home in Port St. Lucie within a week to ten dnys
ENTERING ONB (1) CNILD IN PUBLIC SCHOOL
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LAURIB ANN SCOGGINS (11 yrs) m~,
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~ 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~ 1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Q~.(.~ •
~~(NAame C~GINS
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~ `t== ~ ! ~ . 6th SEPTBMBBR 66
; c.' f j~~ subscribed before me this day of , 19 .
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` ~,~`'J~, ~ 1 ~R~ER' PCITRAS
~ ~ °i~ERK CIR COURT Notary Public
~ By D.~. My Commission expires
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(To b~ ~x~cvhd in duptiut~ snd oriQinat fil~d wi~h Cltrlc Graiit Carrt, and dupliuh with Ta~c Ass~s~or.)
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~ do~ 154 1~0
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