HomeMy WebLinkAbout0934 .
Oecla~ation ot Oo~t~ticit~ and Citl~e~ship ~
15tfi00
TO THE STATE AND COUNTY T,4X r?SSESSOR, ~ _
Sl. IUCIE COUNTY, FIORIDA•
This is my declaration of Oomicile and Citizenship in the S~ate of Florida that 1 am filing this day in acoordanos and
in oonformiry wi:h Chapter 222, Section 224.17, Flo~ida Statutes.
1 was formerly a iegal res~dent of p~4Y~d~ice R^~p ~il~d -
(City) (Stats)
and 1 resides! at _ 75 WeSt SllOre Drive COVCntry liowever 1 have changed my domicGle ~
(Stree! and Number)
to and am and have been a bo~a fide resident of the State of Florida since --~~1-__ day of
November , 1966 ~ and 1 reside a~ 117 E Primaliista Bivd~
(Street and Numlx~)
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizensnip, actual legal residence and domicile in the State of Florlda.
(I~serr here any pertinent facts, such as sale of property or business, or relinquishme~t of emp~oy~nent
at former domicile, removal of family to :~ew domicile, purchase of home, etc.)
~ntering children in school _
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'06 N~ 1501-00
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I FURTHER CERTIFY that I will comply witfi all othe~ requirements of a legal res'~dent of fhis Sts'~.
I FURTHER CERtIFY that I have no intention to return to my former domicGle, and 1 intend to remain in FORT
PiERCE, SAINT LUCIE COUNTY, FLORIOA, permanently.
. ~~~G~~ .
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: 'i.~~r~ (Name)
~.J3•;~."~•t ' ~~.~f
• . J..':~ Wi lliam Grogan
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- ~Svyoin"to.A?ic~ subscribed before me this 18x1i day of .Hr~vember . 19
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ROC:~R POITRAS -
' CIRCUIT URT Notary Public
CR.c~-C-~i ~ x ir
gy D.C. My Gommiss~on e p es
(To be ~xecuMd in dupfiuh and original filed wkh Clsrk Cirarif Cou~f, and duplicate with Tax Ass~swr.)
aooK 159 ~~E 334 ~
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