HomeMy WebLinkAbout0999 ~
De~laratlon of Domicii• and Citise~ship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
15216•~3 ~ ,
Si. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile end Gitizer~ship in the Stats of Florida that 1 am filin9 this day in aooordano~ and
in oo~formity with Chapter 222, Section 222.17, Florida Statut~t. ~
1 was formerl a 1 ~iaahington D.C~ ~
y egel resident of ~
(City) (Sta») i
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and 1 resided at 3?22 Benton St2~e9t N. ,~~,,,evsr 1 have chsnqed my domitile ~
- (Stre~t and Number)
to and am and have been a bona fide ~esident of the State of Florida sinoe lat i day of
dugust , 19_bG, and I reside at 21~09 N~ AtliRtiC Beach Blvd,
(Street and Numbsr)
FORT PIEItCE, SAINT LUCIE COUNTY, RORIDA
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and this statement is to be taken as my declaration of citizenship, actual iegat re:idenoe and domitlle in fhe State of Hotida. ;
(Insert here any pertinent fads, such as sale of property o~ busineas, or relinquishment of empioyme~t
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at former domicile, removel of family to r~ew domicile, purchase of home, ett.)
wp~lying for hamestead and establishing residence
FILED ANO RECORG~O~
, ST. LUCI~ COUNTY. ~LA. ;
RECORD VERIFtEO
~ js21s3
'6t JAN 25 A!1 10 : 29
ROGrR POITRAS
CLERK CIRCUIT COURT
' 1 RJRTHER ~HtTIFY that I wiH oomply with al! other requiraments of a lega! resident of this Stste.
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~ I FURTHER CERTIFY that I have no intention ta retum to my former domicjfe, and t intend to remain in FORT -
~ PIERCE, SAlNT,,~UCIE COUNTY, FLORIDA, permanently.
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~ ';i~~~~,'~ I~cG (Name)
~ _ ~ ~_i ,;-JG's~'. : Joshua Thaada ;:o ~
` U~' J~'l. • € - ~
~ , (31'sce B• ~'ouqg )
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' Sworn to and subscribed before me this 2s~ dsy of danuary 19~_.
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~ Roa~e rom~?s ~
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; CIRCUII' CAURT Notary Public
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~ ac.c~~ CO -
~ 8y D.C. My ~ommission expires
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(To b~ ~x~euNd in duplicat~ and ori~inal fil~d wi~h CIKic Gra~it Couh, and dupiieab witb Tax As~or.)
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