HomeMy WebLinkAbout2046 Declaration ot Don~icile and Gttizenship
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,
TO THE STATE AND ~OUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY. FLORIDA: 1'S~4
This is my declaration of Domicile and Citi=enship in the State of Florids tt~at ! am fili~p this day in saoordanos and
~n oonformity with Chapter 222, Sectioc~ 2Z2.17, Flo~ida Statutes.
1 was formerly a legal residenf of ~f Ord ~.S'lst~~.ti
(City) (Sta»)
a nd I resided at - R t 1 S a rd i S . However 1 hav~ thsn~ed my domk3le
(5treet and Number)
to and am and hsve been a bona fide residens of the State of Floride since 1`~th d~y of
Feb. , 19 6? , snd I retide at Rt 3 Box 466
~ _ (Straet snd Numbe?)
FORT PIERCE, SAINT tUCIE COUNTY, RORIDA
and this statement is to be taken es my declaration of citizenship, actusl ls~al residence and domiclle in the State af Horida.
(Insert here any pertinent facts, such as sale of property or buslness, or rolinquishment of employment
at forme~ domicile, removal of family to new domicile, purcFase of home, etc.)
Entering Billy Dean in the Sth grade
ST~~uC1~CORU~ B
" Sandra Faye in the 3rd grade R~CORO V~q
F~~~
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Jennifer Sue in the lst gr~de ~s~~
~l FE8 Zo ~ 8: 30
R
CLERK CIR U T COURT
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1 RJRTHER CERTIFY that I will aomply wlth all other requiremenri of a leqal resident of this State.
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I FURTHER CERTIFY that 1 have no intention to retum to my former domicGle, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. -
,~.~~:ci:::: •:i- •
~ %~~C/~''~.. (Name)
y`<
; , ' - t ~ Bi 1 y De Priest
~ ~r~F~ ~ _r = G~ _
~ ,~~.y St.:-~-'~~ (Address) j
~ . ~ . (
~ ~'~oi~i $o a~'subscribed before me this 20th day of Feh~uas~ . 19~. ~
t~•;,..•~t:t
~
~ Roaac ro~?s
CIRCUIT OURT Notary Publit
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~ 8y G~%~~ D.C. My Commiuion expires
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(To b~ bc~aufed in duplkat~ am! ~ipinal fil~d wHb q~lc Circuk Coue?, and duplicat~ whh Tax Aa~or.)
~~164 ~?~~20~4
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