HomeMy WebLinkAbout2109 Declaration ot Domic~le a~d Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR, 150501
~1. LUCIE ~OUNTY, FlORIOA:
This is my declaration of Oomicile and Citizenship m 1he State of Flo~ida that 1 am filing this day in actordanoe and
~n co~fo~mity with Chapte~ 222, Section 222.17, Flo-ida Statutes_ -
I>>inois
1 was formerly a legal resident of ___~~.~5~ _ -
~~;tyj (State)
and 1 resided at 409__ West L1IfCOlt1 Sti@@t However I have changed my domiti~e
(Street and Number)
to a~d am and have been a bona fide resident of the Sta~e o~ Florida since _ day of
___December ~q 66 and I reside ai 15Q6 Georgia Avenue
(Street and Number)
FORT p1ERCE, SAINT lUC1E COUNi'Y, RORIDA
and this statement is "to be taksn as my declaration of citize~ship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering children in school:
RE~OR~~~ Patricia l3iana Snedeker 2nd Grade
~II.EV~
N~ OUNTG F~A Debra Sue Snedeker ?th Grade
ST• L ~n..,~. ~'.Sf ~
rt__,~~~ Lex Eugene Snedeker lOth Grade
~~%l ~ ~ : 56 _
~c~~ ~ y 150801
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CLt Rh 'CIR~v~t ~
,
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1 FURTHER CERTIFY that ~I will comply with all othe~ requirements of a(egal resident of this State. ~
I FURTHER CERTIFY that I have no intentioR to return to my former domiGle, and I inte~d to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
( ame)Mrs. John M. Snedeker -
CMary)
~
t
~
~ (Address) _
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14th llecember , ~9 66.
-,~worn to and subscribed before me this day of =
. ~~~'a , ;
t
_ i RtiG,~~.~P,01 ~ t s
CLER~ iCIf~OURT Notary Pubtic f
~.r'{ C 1~ ' ~
g,,. ' D.C. My Commission sxpires
. ;.Il.r`~.•~t: ''r
(To bs ~xecutsd in duplicaf~ and ori~insl filed with C{erk Grcuit Gwr~, snd dupliute with Tax Ass~stor.) ~
~
- o R 161 PaGE 307 ~
80UK
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