HomeMy WebLinkAbout0711 D~la~ation of Domiall~ ae~d Citis~nship
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TO THE STATE AND COUNTY TAX ASSE'SSOR, -
51. U1CIE COUNTY, FL(~tIOA:
This is my decluation of Domicile and qtiz~nship in th~ Stat~ of Florida th~t 1 am fili~p this day in ~ooordana and
in aonformity with Chapter ~22. Sattion 2Z2.17, Florida Statutes. '
t was formerly a leyal resid~nt of ~~a~ ~
(C~tY~ (Stat~)
and 1 ~esidsd at Rt 2 807[ 5~ ~ . Howw~ i haw chanQ~d_~rty domWl~
(Str~ and Numbar) _
ro and am and have baen a bona fids r~nt of th~ Stat~ of Horida sinos ~Y ~
Ja°w`ry ,~9~, and I ro~ide at 245 ~beto I.ane Port 3t.I.ucie
~ (Str~sf a~d Number)
~ naece, s~ tuc~ courrnr, Ro~w
and this statsmsnt is ro be taken a: my dedaration of dtizen~ip, actusi l~gai residena a~d domidl~ in ths Sts» of Horida•
Onsert hsre any pe~tinent facts, such as ~le of propsrry or businas, or nlinquishm~r+t of unploym~nt
at former domicils, romoval of famtly to nsw domicile, purchase of Fwme, et~.)
~ILEO ANO RE !t0~ 0.~~
5T• LUC~E COUN~y"~ l~1A.
?pplying tbr haonestead RECORO VERt~tEO ~
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C~R GER POITRA~
K QIRCUC( COU~
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~ I FURTHER CERTiFY that I will oomply witfi sll o?~ requirom~nb of a Ipal r~idsM of this Stat~. -
1 FUkTHER CERTIFY that I have no intentron to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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_ ci . • " ~ , p ~ = John L 3app
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'~~"''~-~,to`~nd wbsaibed before me thi: 18th ~y ~ _ Js .
ROGER ~OITRAf ~ . -
_ Notsry PuWic
gy D.C. My Commiuion expires
Qe iM ~uaihd i~ dupWeM~ aa~ oe~inal fil~d wi11~ Cl~elc Cinaiif Gur1. ~nd d~pliaN wili~ Taoc At~ora
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