HomeMy WebLinkAbout1563 Declaratlon ot Domtciie and Citlzenshlp
~52'S40
TQ THE STATE AN~ COUNTY TAX ASSESSOR,
Sl, lUC1E COUNTY, FLORIDA: ~
Thia is my declaration of Domicite a~d Citizenship in ths State of Florida that I am filinq this day in aooo~dano~ and
in oonformity with Chapter ?22, Ssction 222,17, Flor+da Statutas.
I was fo~me~ly a leqal ~esident of IOWS City Iowa
Ki~Y) (Sta»)
and I resided at Rt 3 Sa~ SOlon F hav~ chanpu! my domidle
(Strest and Number) '
to and am and hsve been e bona fide ~esid~nt of tM StsM of Florida sinc~ lst d~y of
----~ul~~ , ~9.br6_., and ~ raide a~ 24~9 So 14th street
(Street and Number)
FORT PIERCE„ SAIN? LUCIE COUNTY, lLORIDA
and this staMment is to be taken as my declaration of c~tiunship, actus! le~al resldence and domicile in the Staro of Horlda.
(tnsen here any pertinent facts, :uch es sale of propery or bu:ineu, or ~elin~ui~?ment of employment
st former domicile, removal of family to new domicile, purchass of horne, etc.)
Bstablishing residence FILEp ANp Ra~p
- ST. LUCtE COUN~II'~~~Ts .
R~CORD VgRIF1ED •
~S~re~O
FE8 7 p~I f: OS
~
CLERK IA U T COURT
I
i
1 RJRTHER CERTIFY that 1 wil) aomply with all other ~equiremenfs of a Ispal residsnt of this State.
I fURTHER CERTtFY that I have ~o intention to retum to my former domicjle, and ! inte~d 1o remain in fORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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i -.~'y,- . t'-~'• ~ y lyerlyn Dohrer - -
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' . ; ` ; j. (Address)
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" e p;,~ 7t h Feb
''SMrorn to and subsuibed before me this day of ~q 67
~ romu?s
C~~~~ ~ Notery Public
8Y ~ D.C. My Commiuion expires
Ro b~ ~x«,ut~d in duplicah an~ ori~inat tii~d wi11~ Cfwic Graiif toue~, and duplkah wNh T~c As~~or.)
~~Ki64 ~156i
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