HomeMy WebLinkAbout0820 ~eclaration ot Domici!• and Citizenship
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TO THE STATE AND CC~[INTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA: ~
This is my declarotion of Oomicile and CiYvaenship in ths State of Florida that 1 am filinq this day in sco~rda~os and
~n conformity with Chapter 222, Sectio~ 222.17, Florids Statutes.
1 was formerly a legal ~esident of Nex York Nex Yo~k
(City) (Stat~)
and 1 resided at 216th Street - Bronx ~~„~ever l have chanysd my domic3le
(St~eet and Number)
ro and am and have been a bona fide resident of the State of Florida since 1?th day of -
Dece~abar , 196~ , a~ ~ reside at 120 ~ 8aton Drive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residencs and domicile ln the Stste of Hotida. ;
(Insert here any pe~tinent facts, such as sale of property or business, or rslinquishment of employment i
at forme~ domicile, removal of family to new domicile, purchase of home, etc.)
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HQ+~TE~AD P[1RPOSES .
FILED AND RECOROED
ST. I,UCIE COUNTY. FLA.
RECORO 1tERIF1ED
f~ 152052
Y~ uQtT Z~ f~l 3~ ~
R0~ rR t-OITR~S
CLERK CIRCUIT COURT 4
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~ I FURTHER CERTIFY that I will aomply with all other requirements of a le~al resident of this State.
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1 FURTHER CERTIFY that I have no intention to retum to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
;,~:?+iu::::~;;;, . i ( ame) Jose Papa
''.,J;? C p~~~i~ :
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J . ~ '/~~'f.a
. ~•~~~,~'i ~G ~~~~r~
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: ~a 1~ Eaton Drive, Ft. Pierce. F1a .
r (Address)
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~1 subsuibed before me this 2~ day of Janusry , 19_~..
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ROGER rORRAS
CLERK CIRCUIT COURT . Notary Public
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gy D.C. My Commission expires
Ro b~ ~x~ew~d in d~plicat~ am! oripinal fil~d witb Gsrh Cirarh Couet, and duplica» with Tax A~.)
aooK 164 P~E 81't
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