HomeMy WebLinkAbout2013 9
Declaratio~ ot Domicile a~d Citizenship 4~4
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Si. LU~IE COUNTY, FLORlDA: .
This is my declarotion of Domicile and Citizenship in the State of Florida that 1 sm filing this day in aaordanos and
in co~fo~mity with Chapter 222, Section 222.17, Florida Statutes.
i was fo~merly a legal resident o~rookly_n _ New York
(City) (Stab)
and I resided at 565 BuClid e.
~r However 1 have changed my domic.ile
(St~eet and Number)
to and am and have been a bona fide ~esident of ihe State of Florida since 25th ddy of
September , 19 66 ~ and ~ reside at ~~OS Ave. I
(Street and Number)
FORT ~IERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence a~d domicite in the State af Horida.
(Inse~t here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicite, removal of family to new domicile, purchase of home, etc.)
Establishing residence
F~~o ~NO a~ ~ . , °
ST. LUCtE CO
RECORD VERIFI~D
~ S ~ ~0: ~0
148964
ROGER ~OITRAS
CLERK CIRCUtT COURT
1 FURTHER CERTIFY that I will comply with all other reguirema~ts of a(egel resident of this State.
[
I FURTHER CERTIFY fhat I have no intention to retum to my fo~mer domiGle, and 1 intend to remain in FORT
PlERCE, SAINj~l.UCIE COUNTY, FLORIDA, permanently.
,,i ;~:~,:j;;
, ti ~ . .
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J i , <<i ~ .(Name).
_ - . Peter Raimondi
. . ~ . ,
- - . : „ _
$ ~ ~ . ~lE)
Jennie Raimondi
•L
5wurn to and subscribed before me this Stb day of ~CtObt'r ~ ~q 66,
ROGER POITRAS
ClRCUIT„COUR~ Notary Public
1J
SY T~ D.C. My Commission expires
(To b~ ~x~cuted in duplicsb and ori~i~al 81~d witl~ G~ic CiKUit Court, snd duplicat~ wi~h Tax /1s~sor.)
a~156 ~ 2l0
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