HomeMy WebLinkAbout0050 1 ~R ~l~~~~
TO THE STATE AND COUt~TY TAX ASSESSOR, ~
Sl. lUC1E COUNYY. FLORiOA:
This is my declaration of Oomit~le and Citize~ship in the State of Florida that I am filing this day in acco?dance and
~n conformiy with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was fo~merly a legai ~esider~t of _-_-1~~d1~Q~_ - -TE'n~e~s~_ `
~ (Ciy) (State)
9~1 Roosevelt •
and 1 ~esided at _ - - - , . -_,_-~_--A~-- - - _ . . _ . However 1 have cha~ged my domic.ile
(Street and Number)
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to and am and have been a bona fide resident of the 5tate of Florida since day of
O~tober 6b General nelivery, Edwards Road
- - 19 and I reside at
(Street and Number)
~RT PfERCE, SAtNT l!lCIE CQUNTY, FtORIDA
and this statement is to be taken as my cleciaration of citizenship, actual legal residence and domicile in the State of Horida. ~
(Insert here any pertinent facts, such as saie of property or business, or relinq~ishment of employment
' at former domicile, removai of family to new domicile, purchase of home, etc.)
FtLEO AND RECORDED
ST. LUCIE COUNTY. pt.A,
RECOR~ VERIFi p
is~~blish~ng residence ~sfi f~~ 9: 27 ~
14~5~1 ~
Entering David S~jpkens in 8th Grade ~~O~EH :-ptTR~S ~
CLERK CIRCUIT COURT ~
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1 FURTHER CERTIFY that 1 witl mmply witfi all other requiremenis of a legal resident of this State. ~
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1 FURTHER CERTiFY that I have no intention to return to rny former domic,ile, and I intend to remain in FORT ;
PIERCE, SAINT lUCIE COUNTY, FLORIDA, permanently_ f
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. , •~-1• - ! • ,u',•~ C~~
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',y^ : . . ' (Name ~
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~ ` ~ Raymond Nor ton =
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. Sworn to and subscribed before me this 1 day of Novemher 19 h6 ,
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ROGER POlTRAS s
RK C!R IT COURT Notary PuLlic ~
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8Y D.C. My Commission expires ~
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(To be executed in duplicat~ snd oriHi~al ~iled with Cleric Grcuit Cour~, and dupiiub with Tax Assesso~.) •
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