HomeMy WebLinkAbout1207 ~eclaration ot L1omi~il~ and Citisenship 15~08 .
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Si. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citlz~nship in ths State of Florid~ that 1 am filin~ this day in eooordanos a~d
in oonformity with Chapts? 22Z, Saction 2Z2.17, Florida Statuhs.
1 was formerly a I~al resident of HO1tOA IDd• _
(City) ~~M~ .
and 1 resided at Rt 1 . Howavsr 1 hav~ charped my domidl~
(Street and NumbK)
to and am and have been a bons fide ~~ident of the Stah of Florida sinoe 25th d~y of
January , 19 67 a~ ~ 1612 South 30th atreat
(Stre~t and Number)
I~ORT PIERCE, S/?INT lUC1E COUNTY, RORlDA
and this statement is to be taken as my declaration of citizenship, actual le~al ~esidence and domidls in the State of HorWa.
(Insen he~e any perfiinent fact:, such as sale of propeny or bu:iness, or relinqui~ment of emplo~yment _
at former domicile, romoval of fsmily to new domicile, purcha~ of home, etc.)
entering children in ~Chool
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sT• aECORO 152~Qg
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i FURTHER CfRTIFY that I wili aomply wiffi all other roquirsmsnb of a lepal reside~t of this State.
I FURTHER CERTiFY that i have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE,,-SA,~` LUCIE COUNTY, FLORIOA, permanently.
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~t ` - ~ y~=.~:~ Dorothy atham
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~l-'•~' ~ - ~ 4 = (Address)
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,'/',Sworh,to and subscribed before me this 30th day of Janaury 19 6?
.
ROGER ~OITRAS ~
CIRCUR C RT Notary Public
e~s~i
gy D.C. My Commiuion expires
Ro b~ ~uc~M~d M dup~cM~ and oei~teal fll~d whh Ct~lc Cina* Cou~t, and dupli~l~ wi11~ Tax A~MS~o~a
8~~.64 ~~z06 =
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