HomeMy WebLinkAbout1938 ~ Deciaratio~ at Don~~cl~e a~d Citi~~nship 1507'~.8
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. llK1E COUNTY. FIORiDA:
This is my declaration of ~omicile and Citixenship i~ the State of Fiorida that 1 am filiny this day i~ aooardants and
~n conformiy with Chapter 222, Section 22Z.17, Florida Statutes.
1 was formeriy a iegal ~esidant of ~Y~VILLB KY.
(C+ty) (Stats)
and I resided at _ BIGGS FOST OF FICB ~~ver 1 have changed my domic.ile
(Street a~d Number)
b and am end have been a bo~a fide ~esident of the State of Florida sinee 2nd day of
December 66 510 Tumb2~ng ~ling Rd.
- , 19 and I reside at
~ (St~eet a~d Number)
FORT PIptCE, SAINT-LUCIE COUNTY, RORIDA
and this statement is to be raken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insart here any pert~nent facts, suds as sale of property or business, or relinquishment uf employment
at forme~ do!*~icile, removal of family to new domicile, purchase of home, etc.) ~
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ENrBRING THREB (3) CHILDREN IN PUBLIC SCHOOIS
GLFaV DALE JUSTICB (8 yrs)
KErdNBTH RAY JUSTICB CT yrs)
JAMES ERYIL JUSTICB (6~yrs)
F~LED AkD RECORDED
. ST, ~~~IE C~UN7Y. FLA.
RECCR~ +e~RfFt~p
1507'18
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~U~:_ ~-C~~~: n:.~
. I FURTHER CEftTIFlf that 1 wiil oomply with all other requir~hh~flliC~fii~+f r~i~of this Stata.
1 FURTHER CERTIFY that I have no intention to return to my former domic.ile, and I intend to remain in FORT
' PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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..~~T 'C (Name)
~ , . , ' : - ~ AgtS . KELLY JUSTICB
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~ ` 12th y December , i9 66
Sw~otn to and wbscribed before me this da of
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ROGER FO
CIERK IRC COURT Notary Public
BY ` O.C. • My Commission expires
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Ro b~ ~x~cut~d in duplicah and oriyinal fil~d with CIKIc Grcuit Court, and du~ficab wiN~ Tax Ass~ssor.)
do~ 161~ ~ i36
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