HomeMy WebLinkAbout0591 Declaratio~ ot Domtcil~ and Citi:enship
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TO THE STATE AND COUNTY TAX ASSESSOR, ~ ~ .
Si . LUCIE COUNTY, FLORIDA:
This is my deciaration of Domicile and Citi~sn3hip 1~ the Ststs of Florida that I am filin~ thii dsy in ~ooorda~ ~~d
in aonformity with Chspter 22Z, Ssction 2~2.17, Florida Statuta. ,
i was forme~ly a ta~al ~esident of ~~a~
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and ~ resided at 16 Boston Strsst ~ . liowever 1 hav~ charqsd my domidie
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ro and am and hsve been a bona fide roside~t of the Stats of Florida sinoe ~Y ~
~P~~r , 19 and I reside at 13~ Nar4n~ a Avs. Port ~.I.ucis _
(Stnet and Numbsr)
FORT r1ERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken a: my declaration of dtiunship, actud Isq~f ~esidena and domkile in the State of Florida.
(Insen here any pe~tinent facts, such ai. sale of propsrty or business, or relinqui:hment of employmsnt
at former domicile, romoval of family to new domidle, purchas~ of home, ett.)
Satablishing reeideuce? ~dllspp7,y fo~-~rnnsataad
FILED OUN~~~1.~-
ST.RECORO VERIFI~D
151834
'61 dAll 16 AM 10:0~
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1 RJRTHER GdtTIFY that 1 will aompiy with ai) other requiremsnb of a Ipat rosident of this Stats.
1 FU I CHtTIFY that 1 have no intention to retum to my former domiGie, snd I intend to remsin in FORT
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_ PIERCE, SA1~Ts~1UC1~~C~'fY. FLORIDA, permanently. _ . -
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Sworn to and subscribsd before me this 1~ day of d~~ ~ 19 67 -
RO~iER rOiTRAS .
CIRCUIT COURT Notary Pubik
gy a~-~-.~t-~i a`+C-+1=~.~~ D.C. My Commission expires
(Te b~ ~oo~wNd ie dupWeat~ and oei~inal fiNd wilb C{~ek CirarH Co~e~, and duplkaN wil1~ Tax A~e~a
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