HomeMy WebLinkAbout2706 D~cl~~~tion o! DomtCil• and Citizensh~p ~
TO THE STATE AND COUNTY TAX ASSESSOR. . E~TTST
Sl. LUCIE COUNTY, FLORIDA: -
This i: my declaration of Oomicile and Citizenship in ths State of Flo~ida t:~at 1 am filin9 this day in aooordanos and
in aonfo?mity with Chapter 222. Settio~ 222.1T, Flo?ida Statutes.
1 was formerly a legal resident of _ , S an t i a~O . _ Ch; • -
_ (Cify) . (Stah)
and 1 resided st ~tonio BC11Ct - , HoWever ~ havschan~ed mydomWle
(Street and Number) - ~
to and am anc! have besn a bona fide reside:~t of the State of Florida since 2~_ day of
_ ~c , 19 64, and I reside at 637~ Texas Court ~
~ (Stroet a~d Number)
FORT PI~CE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my deciarotion of dtize~ship, actual legal residence and domicile in the State of Horida.
- qnsert here any pe~tinent facts, such as sale ot property or business, or relinquishment of employment
at former domicile, removal of ~family to new domicite, purchase of home, etc.)
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Alien reg. ~M A-12 808 164 ~
Fl~p qN0 RE~ ,
- ST• WCIE CpV ~ED . ~
. Establishing residence RECORD~VERj~~D~A.
~ss ~EC_-~OG~1~G~
15 PM 1:Z7
11~'3
C~ERK ER PO~TRqg
. - CIRCUiT COURr -
i RIRTHER ~HtTIFY that t will oomply with all other requiremenri of a lepal resident of thk State.
I FURTHER CERTiFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT .
PIERCE. SA~ji JLCIE ~Q~1NTY, FLORIDA; permanently.
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k~ , Osvaldo Leon De La Barra
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-'~w(~~1 to and subscribed before me this 27th day of December ~ 19 66.
ROGER /OITRAS - .
~ K CIRCUIT~OURT Notary Public
gy ~''4'~~ , D.C. _ My Commiuion expires
~To b~ ~oc~arhd in duplicah snd ori~inal fil~d wilh Cf~lc CinvN Court, and d~plicat~ wiM~ Tax As~a~o~
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aooK162 ~ 303 '
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