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HomeMy WebLinkAbout1558 Oeci~ration ot ~on~iCiie and Cittse~ship TO THE STATE ANO COUNTY TAX ASSESSOR, Sl. lUClf COUNTY. FLORIDA: _ 15~`~~ ~ This is my declaration of Wmicile and Citizenship in the State of Florida that 1 am filing this day in attor~~ncs and ~n conformity with Chapter 222, Settion 222.17, Florida Ststutes. 1 was formerly a legal res~dent of ~ouolas - ;erargia _ (City) (Stab) ~ and 1 resided at -_ROUt e-#, 2_ BOx 120 However t have changed my domitile (Street and Number) to and ~m and have been a bona fide resident of the State of Florida since 4 t h_`_ _ _ day of ___Decerober_,_~ i9 66 , and I reside at 1310 Atlantic Elve.,..,, _ ! . (Street and Number) ! 's FO'!T PIERCE, SAINT LUCIE COUNTY, RORIDA and ihis statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Florida. (Insert here any pertinent facts, such as sale of property or business, or relinquishment of emptoyment at former domicile, removal of family to new demicile, purchase of home, etc.) Entering ~acgueline Stone in the 2nd grade f1 Carlis Oelano in the lst grade t . ~ FILED ANQ RECORDEO - ; ST. l.UC1E CQUN7Y. FLA. ; R~C~`~~! ~RIFIED ` ~ /au~~ ' _~l~ t '06 5 PM 2:'~8 15049~ ~ ~ CL£RK CIRCU~T ~OUR7 i ~ ; ~ ~ - ~ f I FURTHER CERTIFY that I will com I with all other r uirements of a I ~ P Y eq egal reside~t of this State. ~ , . ; I FUR7HER 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. ' ~ ~ t;~.~i~; ~/~la.al ~la. ~3~2f _ y,~o ~ f~CG~.~~~. ~ ~ ~ (Name) . ~ - Mrs. Ella •Hae Stone { =1 z ' ~ v ' ~ : ~ t ' - ~ . ' . - (Address) ~ ~ ~ r ~ ~ ~ ~ Sth December b6 ~ ' Swom to and subscribed before me this day of , ~q . OGER POITR/lS LERK CiRCU1T CO T Notary Public °`'`.'li.c~-L~'~ D.C. My Commission expires (To b~ exesuted in dupliwte snd original ~ilad with Clerk Grcuit Court, snd du liuts with Tax Assessor. ~ p ) ~ 800K ~~O P~~ 3~ r~.~`~~ ~ ~ y j w ~ _ - ~ ~ i, ~ K - , ~ie ~ - ' - -