HomeMy WebLinkAbout2606 Decla~ation ot Domicile and Cltizenship
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TO THE STATE AND COUNTY TAX ASSESSOR, 149321
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this dsy i~ atoo?dance and
in conformity with Chapte~ 222. Section 222.17, Florida Statutes. ~
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I was forme~ly a legal resident of __~ityVil~~: N6w York _ :
(Ciy) (State) ;
and I resided at 2$. B~ah ~ R~ad . Lo n f~ I s 11.nd__. However t have changed my domicjle
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 12__- day of
September 66 40 M~hispering Creek Village
19-__, and I reside at _
(Street and Numbe~)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my decla~ation of citizenship, actual legal residence and domicile in the State of Florida.
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(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.) '
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ST, EC~
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~R~ VER~~F ~lA,
'ss r•'-'~ 18 P~! << .
Establishing residence ' • 2Z
- 14932
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c~R~~iT ~o~Rr
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1 FURTHER ~ERTIFY that I will comply with all other requirements of a(egal resident of this State.
1 FURTHER~,C'ERTIFY that I have no intention to return to my former d icjle,'and I intend t remain in FORT
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PfERCE, SAIPTT~~~JCl~ .~OUNTY, FLORIDA, permanently. f~
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~t ~ , ~ 1 " ry ame)
. , . .
_ Preston C, Keator
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. ' (Address)
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Sworn to and subxribed before me this 18 day of ~tober ~ 1966
ROGER POITRAS
CLERK Ci UIT COURT Notary Public
gy D.C. My Commission expires
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(To b~ ~x~cutad in dupliuts and original ~iled witb G~rlc Circuit Courf, and dupliute with Tax As~ssor.)
900K 15 ! PAGE 205
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