HomeMy WebLinkAbout1475 v
1~0442
Decloration of ~ornicile ond Citizenship ~
TO THT STAT~ AND COUNTY TAX AS3~3.SOIt, ~
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S C. Luc ie ~~y~ g~~A:
This is my declaratioa of Domicile ~tnd Clti:et~hip_ in the State of Florida that I am flli~g this day in
accordance, and in confon~tity with Chapter 222, Section 222.17, Fiorida Statutes. ~
I was formerly a legal resident of_____ I?I~ac~od_Cre,~t New_Jersey__w.__~ ;
~ ~~b~ (St~ts) :
and I resided a~..__5~09 Atlantic Avenue gowever, I bave changed my domicile
-------------~Street aad Namber) - - ~
to and am and have been a bona fide resident of the 3tate of Florida since._._. 31 s t ~
- - - - --------•-~Y ~
Marc
h 6 3 5 6 Grana da S tree t ~
1-------, and I reside a~..---------------__.__ - .
(Strest sad Number)
Fort Pierce St. Lucie i
- ~_._M__ _---------~________._____...__CiO11IIt.y, '~ol'lda, ~
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and this statement is to be taken as my declaration of citizenship. actual Iegal reaidence and domicile in {
the State of Fiorida. . j
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(~rt ~e ~Y P~:~aeat faets. sucL as sale oi~~properf.Y or bnsiness. or idinQuishmeat ai employmeai at ;
iornaer domieile. semonl oi iamily to new dom[cile, pnn6sss o! Iwm~. ~te.)
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-Purchased the following described real property: ~
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Lot 24, Block 8 of Fort Pierce Subdivision as ~
per plat thereof on f ile in Plat Book 8, at
page 29, of the public records of St. Lucie County, ;
Florida. ;
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located at 356 Granada Street, Fort Pierce Beach, Florida ~
and reside therein. _
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William Robart and Rose Robart, his wife. - ;
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~ILED ANO RECORDEO
ST. LUCIE COUNTY. FLA.
F?~CORO 1iERIFIED
1504-~2 - . ~
'~6 OEC Z PM 3: 32
?:v"vE.i: i~ut i tZ :S
~ CI.ERK CIRCUt7 CfjURT
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I FU~tTI3ER CERTIFY that I will register at my local address when the registration booka reopen,
~ and comply anth all other requirements of a legal resident of this 3tate. -
' I FIJ~tTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
;
~ Fort Pierce ~ St. Lucie ~Y~~~~ ~o~~~
- .
oerrmanentJy. (~i) ~~ll/~~/,~i~ (~~'i~~~'~~
-
(Nsme)
~ ~ 356 Granada Street
_ ~ _
~ , : : : Address)
aWO~~tA'autl'eubsc.n~ before me this__30th~y of
~ ' -~-~m ez'',~ A. D. 1966
; ~ . ~ ~ .s--. .
r. • .
~~i ~~C ~i~! O,f ~O?~i it LI~ - -
~y Coinmisaio~
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.~spires"t ~9
(To be aceeuted in dnylicate and ori~inal Sled with Clerk C~e00K ~~+t p~r ~ V th Taz Assessor)
Rn~on $qDDIS C'~.. Plsnt Cit~, Fle.
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