HomeMy WebLinkAbout1819 ~ectaratio~ ot Domlcil~ a~d Cfttsenshlp
1527+Q2
TG THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA:
This is my detlaration of Domicile and Citi=enship in the Stete of Flotida th~t 1•m filinq this day in aooordano~ and
in oonformity with Chapter 222, Section 222.17, Flo?tda St~tuNs.
I was formerly a le9al resident of H~~ ~uth Qetl~o7i~Yt
(Cih?) (Stah)
snd 1 ~esidsd at _ 317 East ,venus H~,,,,eYK 1 haw chan~ed my domiSile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since day of
13th
February , ~ q 67 , and 1 reslde at 116 8. ~ Street
(Stre~t and Number)
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FORT MERCE, SAINT LUCIE COUNTY. RORtDA
and Mis statement is to be taken as my declaration of citizenship, actuel le~al re:idents and domicils in tha State of Hotlda.
(Insert here any pertinent facts, such as sale of property or buaineu, or relinqui~ment of employment
at former domicile, removal of family to naw domicile, purchase of home. etc.)
PT+~C~ t~ilID REN IN 3t~i0~
Sandra Harria - 7 Y~ ST<<ED ANp R~Cp {
John~r Harria, Jr. - 6 yeara .R ~~~E ~OUIIfTyR ~ '
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6~ FEB 13 AIy 10: S ~
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CCERK ~~R~ 0~7R~g ~
UtT COURT ~
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' I FURTHER CERTIFY that ! will aomply with al) other requirements of a lepal resident of this State.
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° . t FURTHER CERTIFY that 1 have +no intention to retum to my former domiyle, and I intend to remain in FOR7
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently,
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4 ' ~~iiii~n~??~~1~ ` (N ) Kra• Johar~pr Harria
CO~~~yi~`~~
f~~:=?~ b•~4~,~~' 116 S. ]3~th Street~ Ft. Pierce~ Fla.
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: : S?.~ ,t:' p6i ~a~`: (~4ddres:)
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; , t ; 67
:~'Sti
~~~s~/~7~~w~bed before me this day of ~ 19~-
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~i~ rOITRAS -
CIRCU URT Notary Pubiic
.
BY D.C. My Commission expires
(To b~ ~a~d in dvplkat~ and o~inal fil~d wkh CI~lc Cina~h Court, and duplkata wilb Tax A~N»aa
~ - a~164 ~183.7
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