HomeMy WebLinkAbout0206 Declaration ot Domicile and Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR, -
Sl. IUCIE COUNTY, FIORIDA: . 1'aJ~V~S
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This is my declaration of Uomicile and Citize~ship in ths State of Florida thst 1 am filing this day in aco~~dance and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
Jackson Heiqhts, New York 11372
I was forme~ly a legal ~esident of _
(Ciy) (Stats)
a~d 1 resided at 76-15 35th Avenue -~,,,,evet I have changed my domiGle
(Street and Number)
to and am and have been a bont fide ~esident of the State of Florida since 20~h day of
Dec~mber , ~q 66 and I reside at ~ute 4, Box 312 ($dwards Rd., o~p.
- , (Street and Number) Rogers Rd. )
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be take~ as my declaration of citizenship, actuaf legal residence and domicile in fhe State of Hotida.
(Insert here any pertinent facts, suth as sale of property or business, or relinquishment of employment
, at former domicile, removal of family to new domicile, purchase of home, etc.)
Purchased property in 1950; home built since 1955; now having
~retired from my association in New York as of December 2, 1966,
~ I am now making my legal domicile in Fort Pierce, Florida.
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1 FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident of thia State.
~ 1 FURTHER CERTIFY that I have no intention to return to m former domiCile, and I intend to remain in FORT
E
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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~ Sworn to and subscribed before me this 4~ day of January ~~s ~ ~q 67 ~
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ROGER POtTRAS - - - - ~ -
Ct~ERK CIRCUR COURT ~ No~ary Pub~c~: S~i~b. ~f, . drida
at Larg4 - t„ ~ ,
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By D.C. My Commission expires ~~9.~~;~ .
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(To b~ ~x~cut~d in dupliut~ snd ori~nal Rl~d witb Cl~lc Circuit Cour~, snd duplluh with i'ifi'l~e~r.~:
eooK 164 ~r~ 205
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