HomeMy WebLinkAbout0138 Declaration ot Domicile a~d Citt=enship
TO THE STATE AND COUNTY TAX ASSESSOR, 1S1S I~
51. IUCIE COUNTY, FLORIDA: _ M ~
This is my decla~ation of Domicile and ~itizenship i~ the Stats of Flwida that 1 am filing this day in aooordance and
in aonformity with Chapter 222, Section 222.17, Fb~ida Statutes. -
I was formerly a lega~ resident of Tef ferson New Ynrk _
(~iy) (Stsro)
and 1 ~esided at Rd 2 - - However 1 have charped my domidle
(Street and Number)
to and am and have been a bona fide re:ident of the State of Flwida sinoe 3rd ~y of
• .
January 66 3508 Avenue P
, 19 , and I rss'~de at
- (Street and Number)
l~ORT MERCE, SAINT LUCIE COUNTY, FLORIOA ~
a~d this statement is to be taken as my declaration of ciNzenship, actual legal residence and domicile in the State of Horide.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at fomner domicile, removal of family ta new domicile, purchase of~ home, etc.)
Establmshing residence
ST~
~AE
p RE~Q
RE~~RD
yF~ 1'Y~p- _
FO
~t ~qH s .
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~ k~~ER
~RK CIR~U~T ~DU
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~ 1 RIRTHER CERTIFY that I will oomply witfi all other ~equireme~ts of a lepal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, $A ' COUNTY, FLORIDA, permanently.
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~ ~ n. (Name)
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a~`~`~~°~`~'..~ Joseph Schneider
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`CQ'~~., (Address)
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Sworn to and subsuibed before me this 5 day of January ~ 19 b7,
~ .
RO~iER PORRAS
CLERK UR COURT Notary Public
By ' D.C. My Commission expires
Ro b~ ~oc~wbd M duplicah aed orl~n~ Rl~d with Cl~rk Grarit Couit, and dupliesf~ whh Tax AsNaa.)
~ - S~K164 ~ 137
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