HomeMy WebLinkAbout0010 ~ec~atatEon ot tlomlcile a~d Cftizenship ,p
~O THE S1ATE AND ~OUNTY TAX ASSESSOR, ~4a~~2 ~
Sl. IUCIE ~OUNTY, FLORIDA:
This is my decla~ation of Oomicila and Citiienship in the State of Florida that I arn filing this day in atwrdance and ~
conformity with Chapter 222, Section 222.17. Flori~a Statutes. ,
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1 was formerly a lagal residenJ of Co lo r ado_ S i iT1~S_ ____T ' ~'O 10 ~ _
/ (Ciry) (State)
and 1 ~esided ar _ 342n NJr~~ CaSCade__,_ . HoweveN I have changed my domiGle
~i (Street and Number)
to and am and have been a bona fide resident of the State of Florida since _26tb _ day of
October ~q66_, and I reside at _1412.___A~g~p Road
^ - (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY. FLOltIDA ~
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and this stateme~t is to be taken as my declaration of citizenship, actual legal residence a~d damicile in ihe State of Horids.
!Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former ciomicile, ~emoval of family to new domicile, purchase of home, etc.) ' i
~ 1?licliael and Daniel ~Rno in the lst ~rade ~
ntering P
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, FILEO AND RECORDED
ST. ~UCtE COUNTY. FLA.
R~~'L'rC~ VERiFIEO
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j C~ERK C!RCUfT COURT - ~
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1 FURTIiER CERTIFY that 1 will comply with all other requi?ements of a legai resident of this State. ;
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1 fURTHER CERTIFY that 1 have no intention to return ta my former domitjle, and.l intend to remain in FORT ~
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~ PIERCE, SAINT LUCIE COlJNTY, FLORIDA, permanently. :
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. ~ `~l ~ Ann Knop
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~ Swom to anrS subscribed fore me this 31 day of OC t obe r , 19~4 a
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itQGER POITWl3 ~
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K CIRCUIT C URT Notary Public
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y~ g -~-L~ ~ D.C. My Commission expires F
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s~,< (To be exscuted in dupliub snd origin:l filed wiih Clerlc Grcuit Courl, and dupiicats with Tau Ass~sior.)
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