HomeMy WebLinkAbout0602 Deciaratio~ ot Domic~le and Citls~~shlp ~
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TO THE STATf AND GOUNTY TAX ASSESSGR,
Sl. lUC1E ~OUNTY, FiORIDA: ~ ~
This is my declaration of Uomicile and Citizenship i~ the ~tate of Flotida tha~ 1 am filing this day i~ ~wdanoe and
~n co+~formity with Chapter 222, Section 222.17. Flo~ida Siatutes. -
I was formerly a legal resident of Sapphire , North Carniina _
(City) (State)
, Route 1
and 1 ~esided at 3~X~~x _~7[ZSX~Z~3~Z~x However I have changed my domitile
(Street and Number) _
to and am and have been a bona fide ~esident of the Stah~ of Florida since 1$ day of
October 66 ~3221 S, Dixie HighwAy
- . 19 , and I ~eside at
~ (Street and Number) -
FORT PIERGE, SAINT_tlJCIE COUNYY, RORIDA
and this statement is to be taken as my declaration oi citizenship, actual legal residence and domitile the State of Hotida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Enterzng Connie Ann Thomas in 7th grade-
" Roy M. rhomas, Jr . in 4th ~rade m~
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I FURTHER CEitTIFY that 1 will oomply with all other requirements of a legal resident of this State.
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1 FURTFiER CERTIFY that i have no intention to return to my former domicjle, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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- . 3, - (Name)
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~ ~ . ~nn Thomas
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~ '_~~~'ww~1i'~14r'snd s~bscribed before me this ~'4 day of November ~q 56 f
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ROGHt PORItAS - - :
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CLFJtK C CUIT COURT ~ Notary Public
~ gy D.C. My ~ommission expires
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(To b~ ~xecuted in duplicate and original Rled with Clerlc Grcuit Court, and duplicsh wi+h Tsx Ass~ssor.)
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