HomeMy WebLinkAbout0429 Declaration o! Dorr~iciie and Citi:enship
TO THE STATE AND GOUNTY TAX ASSESSOR, _
Sl. LUCIE COUNTY, FIORiDA: ~ .
This is my deciaration of Oomicile and Citise~ship in ths State of Florida that 1 am filing this day in aooordanoe and
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in conformity with Chapter 22?, Section 222.17, Floride Statut~.
1 was fo~meriy a legal resident of ~R~vA CAI.IA
(~ity) (Stats)
10532 ~ambassidor Dr. , Hcwever 1 have cha
and I rssidsd at J nged ~y domiclle
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to and am and have been a bona fids resident of the State of Florida since 12tb day of
Sept. ~~q66 , and I reside at 112 Bntrada Ave.
(Street and Numbaf)
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FORT PI~CE, SAINT LUCIE COUNTY, RORi~A
and this atatement is to be teken as my declaratbn of citizenship, actual legal residence and domidle in the State of Florida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employmsnt
at formar domkile, removal of family to new domicile, pu~chase of home, etc.) i
~151'78
FILING FOR HOMES'rEqD PURPOSBS Ft~ p~ AND REC4R ~6~,~
8T. l.UC1E CVUN~ b
RECORD aK~E~
'6T JA~I 101~,?'~316
ROGER POITRAS
' CLERK CIRCUIT COURI"
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1 FURTHER GHtTIFY tfiat 1 wlll aomply with all other requtrements of a I~yal resident of this Stat~. ~
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i FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT f
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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~~~~t~ 1?~~Jfr~'~'ii~=- ~ Joxrr B. GEE ,
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- ~d. lOth Janua y 67
_~':~•:°1;;•~v1o~ln.~p,.,s~d subsaibed before me this day of ~ , 19 .
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CL~RK C T Notsry Public
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By D.C. My Commiuion expires _
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Ro b~ xacvl~d in a~d o~i~inal Al~d whh CIKk Cira~t Coue~, ~nd dvplicat~ wHh Tax At~J
aooK 164 P~ 427
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