HomeMy WebLinkAbout0331 Declaration of Demicile a~d Cittzen~hip ,~~~~i
TO YHE SrATE AND COUNTY TAX ASSESSOR,
Sl. IUCiE COUNTY, FlOR1~A: _ ~
This is my declaration of Oomicile and Citizenship in the State of Flor:da that 1 am filirtg this day in ataordan-'..e ant7
conformity with Chapter 2Z2, Section 222.17, florida Statutes.
- Mephis Indiaaa
I was fomie~ly a legal resident of - '
~~;~y~ (State)
and 1 resided at __Route 1 _ However I have changed my domiG~s
(Street and Number)
ta and am and have been a bona fide resider~t of the State of Florida since _~_-_---2$ - day of
~'CtObei_ , ~q 6b, and I reside at 108 N?~th C TPP?
- (Street ani! Number) _
FORT PlERCE, SAINt LUCIE COUNTY, FIORIDA
and this statement is to be taken as my decleration al~Fifizenship, actuat lega{ residence and domicite in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or reiinquishment of employmer~t
at forme~ domicile, removal of family to new domicile, purchase of home, etcJ
Entering David Lee Cochran in 2nd Grade
t' Robert ~ictor Cochran in S~h Grade
" Pennie Sue Cochran in 9th Grad~
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1 FllRTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my farmer damiGi~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' . - ' _ - (Name)
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t•~~ ¢ j, JI(i llard Rowley
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~ Sworn to and substribed before me this ? dey of No~rember , 19-bb
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~ ROGER POITRAS
~ CLERK tIR UIT COURT Notary Public
~ gy _ - D.C. My Commission expires
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~ (To be execuhd in dupliute and origina! filed with Clerlc Circuit Gour~, and duplicst~ with Tsx Asses~or.)
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