HomeMy WebLinkAbout0601 oe~ciaration ot Domlcii• ae~c~ citi:snsl~Ip ~4~~
TO THE ~TAtE AND COUNTY TAX ASSESSOR,
Sl. lUC1E ~QUNTY, FIORIDA: ~
This is my declaration of Domicile and Citize~ship in ths State of Flo~ida that 1 am filing !his day in aoo~~dance and
in conformity with Chap~e~ ?22, Section 22?.17, f:o?eda Sfatutes.
1 was formerly a(egal res~denr of Baton Rouge ` Louisiana
(City) ($tatef
and 1 ~esided at 1930 Spang _~~,,,ever ! hava changed my domic.ile
(St~eet a~d Number)
to and am and have been ~ bo~a fide resident of the State of Florida si~te ~_-___~14_ day of
~ctober 6E - 912 Yalley Lane
- _ , 19 and 1 ieside at
~ • (Street and Number)
PORT PIERCE, S/UNt LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence and domitile in the $tste of Fbrida.
(Insert here any pertinen;~ads, such as sale of property or busi~ess, or ~elinquishment of employment
at former domicile, ~emoval of family to new domi~ile, purchase of home, etc.)
Garrison C~, -
Enter=ng Ronald N. in 2nd Grade
Clark Garrison in 2nd Garde
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1 FURTHER CERTIFY that 1 will oomply with al) other requirements of e legsl resident of this State.
f FURTHER CERTIFY ihat 1 have no intention to return to my farmer domicjle, and I intend to remain in FO[tT -
PIER~E, SAINT LUCIE COUNTY, flORtDA, permanently. ~
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14 November 66
'.~1w~fH1fC, artd subsc~ibsd before me this day of ,~q ,
ROGER POITRAS
CUtT COURT Notary Public
8Y ~.C. My Commission exp':res
(To b~ ~xscuhd in dupliut~ and ori~ina) Fled with Clerk Cirwk Courf, and duplicat~ with tax Ats~ssor.)
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