HomeMy WebLinkAbout2244 ~eclaratlon ot Domicil• and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR. 152951
Si. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and ~itizenship in ths Stata of Florida that 1 am filiny this day in saoo~da~oe and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of $~L~(~f1~~1• Ne!t JeY'sey
(City) (Stab)
and 1 resided at ~lter Stre~t However I have d~anyed my domkile
(Street and Number)
ro and am and have been a bona fide resident of the Stste of Florida sinoe day of _
2821 North I~iaai River Dri~,
_ , 19 and I reside at
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Pnrchase of Aome. .
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RIIED AND RECOR9tA~
ST. WCIL COUNTY. lrLA:~
RECORO VERIFIEO
'6T f E8 2 i~ _9~,; 3
9
' ROGER POtTRAS
~ ~ CLERK CIRCUI? COURT
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1 fURTHER CERTIFY that 1 will oomply with all other requirements of a leyal resideM af is State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and in m in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Dri~t H. Boss
(Name)
35 Salter St., S~ringfleld, N.J.
(Address)
Sworn to and subscribed before me this ~3~ day of ; „ Feb~~ . 19 67
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(To b~ ~oneuhd in d~a aed ai~inal f~d wiN~ Cl~ei~,,. ~1'~r`~e~d duplieah wHh Tax -
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