HomeMy WebLinkAbout0603 Declaratio~ ot Domicil~ ar~d Citis~nship ~
lsi~o
TO THE STATE AN~ COUNTY TAX ASSESSOR,
Sl. U1CIE COUNTY, FIORIDA: ~
This i: my declaration of ~wnicils and Citizenship i~ ths Stat~ of Flarida that 1 am filin~ this day in aaoordana ~nd
in aonformity with Chapter 22Z. Sattio~ 222.17, Floride StatuMs.
I wa: formerly a legal rosident of N~trt.on F 1 w _.Q~~~ ,
(Ciy) (~atr)
and 1 resided et 196 Albert St,reet ~ However 1 have chan~sd my domidls
(Snaet a~d Number) -
to and am and have been a bona fids ~ldent of the Stste of Florids sino~ 2~ day o~f
~ov~ber , 19~ , and I rosid~ at 1T05 J ita ,v~ Pira~{ s~k
~ ~ (Stre~t a~d Number)
FORT PI~CE, SAINT LUCIE COUNTY, lLORIDA
and this statement is to be tsken as my declaration of citizenahip, actual Is~al rKidence and domidle in the Stah of Horida. E
. pnsert here any pertine~t facts, such as sele of property or bu:iness, or rolinquishment of employm~r~t
at former domicile, romoval of family to n~w domkile, purchsse of home, etc.)
~ ~
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F~~p ANO `
Establiahing reaidence . ST. LUCIE COUNI~R ~D ~
RECO~ VERIFIEO
~pplying for home~tead 51~0
~6T JAN ~ s AM IO : qe
,
~.~;~%~o,~,~c~j
' ` CLERK C R U T COUR?'`
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1 FURTHER CERTIFY ihat I will oomply with all otF~ requireirients of a le~sl reskkM of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORY
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanentiy. ~
~
i>>i~aiiiii~~':.-;.;-_- ` , (Na
,n~'f;~,_Z:;'- A $ Reynolda ~
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'-3 ^~~.i'.~s~~{~;`p ~''~~r
v~ ~-~1 ~
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= 67
. 19
t~~iip~;; ~,~'4~saibed before me this 16th day Jannarv ,
'i ~ , ~ , ,~a.'
_ / 4 ' -
~OITRAS .
~ GRCUR OtiRT Notary Public
ca.s.~Et.L ~
By D.C. My Commiuion expiros
(To b~ ~oaaN~d in dupNeat~ a~ o~i~inal Al~d wHb Cl~k CMaiM Court, and duplicaN wilh Tax A~~ora
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