HomeMy WebLinkAbout2229 ~ecle~atfon ot Domicii~ and C~Issnship "71 ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORI~A:
This is my declaration of Domiule and Citizanship in ths State of ~lorids thst I an~ fi~i~p this day in aooadano~ and
in cor~formity with Chapte~ 22?, Section 222.17, Florida Statutas.
I was forme~ly a legal ~esident of - Sandw~ich Mass~
(~ity) (State)
and I resi~r! at _ Rt 6 A Pc7Bx 307 Hcwevar 1 have changed my domicile
(Street and Number)
to and am and have been a bona fide resident of the State ~f Florida since 14th day of
December , ~qb6 , ar.~l 1 reside at 2502 Tamarand Rd No. Beach
(Street and Number) -
fORT NERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Horida.
pnsert he~e any pertinent fads, such as sale of property or business, or relinquishment of empl~yment .
at former domicile, removal of family `o new domicile, purthase of home, etc.) _
Establishing residenze
ST ~V~~~ ~ RECORO S -
RECORO
VER,
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- . 'ss OEC 1508'~~
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- CIERK ER ~'O~TR;~S
c~Rcv~t couRr
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1 RJRTHER CERTIFY that I will oomply with all other requirements of a le~al resident of this State. -
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I FURTHE(t CERTIFY that 1 heve ~o intention to retum to my former domiti~e, and I intend to remain in FORT
PIERCE, SAl1~1~,~,~IC1E COUNTY, FLORIUA, permanently. ~
:'vti, „i' i' _ ' - ~
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- _J_ ' L.• . ' - Raymond L.ameDenney -
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Sworn to a"nd subxribed before me this h day of Dece~+he r , 19~b.b..
ROGER POITRAS
ClRCUIT COURT Notary Public
g Q"`'~'~ D.C. My Commission expires
(To b~ ~x~evtad ie duplieah and ori~in~l fil~d vrith Ci~lc Cireuit Coue~, and duplieat~ with T~x As~s~or.)
800K 1~1 PACE 4~7
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