HomeMy WebLinkAbout1774 Declaration ot Domicile and Citisenship ~
148816
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declarotion of Uomicile and Citizenship in the State of Florida that 1 am filing this day. in acoordance a~d
~n conformity with Chapte? 222, Section 222.17, Flo~ida Statutes. ~
I was formerly a legal resident of windsor _ _ Lonn. _
(City) (State)
and 1 resided at 362 ROOd Ave. ~ HowevBr 1 have changed my domicjle
(Street and Number)
to and am and have been~a bona fide ~esident of the State of Florida since .____~b- day of
j-antana Drive
July 19 65~ and 1 reside at Rt 2 Box 2764-77 Lakewood Pk
(Street ar~d Number)
FORT PIERCE, SAINT tUC1E COUNTY, FLORIOA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence
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uciE cot~i~ ~
ECORD VERIFIE
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6 SEP 28 PM I: 09
ROG R488RA6
! ~~ERK CIRCU1T COURT
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I FURTHER CERTIFY that I will comply with all other requirements of a(ega) resident of this Stste.
I FURTHER CERTiFY that I have no intention to return to my former domi~le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' • Edward J. Maxellon
~i . G~~-~
~ . ~ ~ ~ (~cdtic~t4
~ . ~ Eugenia ~1. Maxellon
, ^ f 28th September 66
$worn to and subscribed before me this day of , 19 .
ROGER POITRAS
CIRCUIT OURT Notary Public
~.~Cc,l~ ~Oc,L~t.~
By D.C. My Commission expires
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(To b~ ~xscut~d in dupliuh snd original ~iled with Cl~lc Grcuit Court, and dupticst~ witb Tax Ass~ssor.l
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