HomeMy WebLinkAbout2348 Dectatation ot Domicite and Cltlzenship
TO THE STATE AND COUNTY TAX ASSESSpR, ~S3~~rQ
Sj . lUC1E COUNTY, FLORIDA:
This is my deciaration of Uomicile and Citizenship in the State of Florida that 1 am filiny this day i~ acoordanos and
in conformity with Chapter ~22, Section 222.17, Florida Statutes.
1 was formerly a te9a~ resident of Bardonia New York
(city) (Sraro)
15 Joseph Lane
and 1 resided et _ However I have changed my domidle
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Floride since 8 day of .
_ January ,~q 6? and I reside at 810 Avenu~ M
(Street snd Number)
FORT PiERCE, SAlNT LUCIE COttNTY, fLORtDA
and this statement is to be taken as my declarotion of citizenship, actuat legal ~esidence and domicile in the State of Ho~ida.
(Insert he~e any pertine~t fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
. i
g'~~ A~0 RECORDEO ~
4~J:~,1£ C4lty~'Y. FLA.
R~~fl~~ V~RfFI~D
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61F~a27PMl:16
Establishin~ residence ~S3
i:0~;~;. -U;iR•~ O~
CLFRK ~~RCUIT COURT
1 RJRTHEA.CHtTIFY that I wi{I oomply with all other requiremenri of a Ia~al resident of thia State.
.,?~,atrr' `
. . *%.yr~ . -
.'~.~r~.~J~t'~EY that I have no intenlion to return tc~ my former domicjle, and I intend to remain i~ FORT
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PIERCE,,S~41~~'t~p~`C~dtVtY, FLORIDA, permanently.
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~~c ; (Name)
,'~2''~' '.~.G~': , -
.~''f~••~,~•~••~~ ~ Patrick McCabe
(Address)
Sworn to and subscribed before me this 27 day of February ~ 1967
ROGER POITRAS ~
CLERK RCUIT COURT Notary Public
8Y D.C. My Commission expires
(To b~ ~x~cvhd in dup11ca1s and oripina! A{~d wi~ Cl~ric Cirarit Cour~, and duplicat~ wHh Tax Ass~s~or.)
~oox164 ~2344
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