HomeMy WebLinkAbout0553 . D~alaratio~ ot Dornicil• a~d Citl:~~ship
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TO THE STATE AND COUNTY TAX ASSESSOR,
57. LUCIE COUNTY, fLORiDA:
Thit is my d~clar~tion of Domicile and Citiz~nship in ths State of Florida that 1 em filinq this day in aooordanos and
in oonformity with ChaptK 222, Sectlo~ 224.17, Flotlda Statutes.
I was fotm~rly • Ipal retident of ~y ~'leana LouiBianna
(City) (Sta»)
and I r~sid~d at 3932 St. Charles Ave.~ .~~vw 1 have chan~d my domidl~
(StrNt and Numbe~)
ro and am and haw l~tn e bona fids retid~nt of th~ Stat~ of Florida :ince l~ d~Y ~
OCt.obel' , 19 66, and I tstid~ ~t 3101 SO Tr~d Rtver 1lrion _
(Street ~nd NurnbK)
l~ORT r1~RCl, ~AINT WCI! COUNTY, lLORIDA '
snd this ~t~ternsnt i• to b~ taktn as my daclaration of citisen:hip, sctual layal ~e:idenoe and domicik in ths Stats of Horida.
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pns~rt h~r~ any p~rtin~nt facts, sucFi as tele of property or busineu, or relinqui~mant of ~mptoymsnt
at forn~ domkile, r~moval of famiiy to new domicile, purchas~ of twrrie, e1c.)
Sstablishing residence ~ ~ r ~
FILEp AND RE~qRDED ~ _
ST.I.UCIE COUNTY lh.A.'
RECORD VERIFI~D ~
151867'
'6T ,lAN,1-3- PN 3 : 2A
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ROGER POlTRAS
CLERK CIRCUIT COUR'~
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~ i fURTH~R G'~tTIFY that 1 wtll aomply wtth all oth~r nqulrsrr~s+~fa of ~ lepal r~id~nt of thi: Statr.
~ fhat 1 have no intentlon to rotum ro m former domiql , end 1 inland to remsin in FORT
I FURTHBR C~tlTlFY Y
PIERCE, SAIlV~,,lrlK)lE~NTY, FIORIDA, perman~ntly.
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; a .'t n,; Ed~rard G. Relly
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Sworn ro~nd wbwibsd bsforo me tht~ 13th day of Janautq , 19~Z_.
ROOtR ~OITlA~ -
C~CYtT Notary Pubtk
gy D.C. My Commfubn ~xpin~
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«i~n~l ~a.~ wMi~ a.~k a~a~t a~ .~i wM~ T.x wsw~a
ao~164 ~ 551
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