HomeMy WebLinkAbout2407 DeCl~ration o! Domicile a~d Citizenship 1~3~5`
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TO THE STATE ANO COUNTY TAX ASSESSOR,
51. tUC1E cOUNTY, FLORIDa:
This is my declaration of Oomicile and GitizenshiR in the Stats of Flo?ide that 1 am filinQ thi: dsy in aooordano~ and
in oonformiy with ~hapter 222, Section 222.17. Flo~ida Statutes.
I was forme~ly a le~al ~esident of Atlant$,~ org~
(CItY) (Stat~)
and 1 ~esidad at 2904 fIogan Road East POii]t . . Hcw~evsr 1 have chan~ed my domtvie ~
(Street and Numberj ~
to and am and have been a bona fide resident of the Staro of floride sinoe 20th day of
February , ~9 b~ , and I r~ide at 30_?~.So Ind.kiver Urive
(Street and Number) ~
. ~
FORT PIERCE, SAlNT lUC1E COUNTY, RORIDA
.
and this statement is to be taken as my declsration of citixenihip, actuei le~ai residente and domicile in the State of Florlda. f
'(tnsert here any pertinent facta, such aa sale of propeny or bu:ineu, or reli~quishment of employment
at former domicile, removal of family to new domicile, pc~rchase'of home, etc.)
hntering two children in school F~LED A_ND R~~fl~EO
ST, lUC1E COttNTY: FI.A.
REC09Q yERIF~O
One in the 8th graae 1S30S,~
" in Senior High school ~sl FEB 28 ,
A~I 9 ~ gs
- R0,`~
~~RK CIRCUIT COURT
1 FURTHER CERTiFY ffiat I will aomply with all other reqvirements of a leyal rasident of thts State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in fORT
PIERCE, SAlNT LUCIE COUNTY, FLORIDA, perma~ently,
~~~~li:~itl~~~ _
.ti ~•~Jv~'' . oO;~'•
• . G:'•: - (Na e)
`v ~'.~c'• Leonard Hunter
J • ~ vr l:,.f i C~• ~ - _ . . -
. n~: _
_ en ; ° 't-~~ t: ; - (Address)
. -
" : , 1 l~\' .
. '<<' 28th ~ February 67
Sw~rto~G~ svbsuibed before me this day of , 19 .
~e ro~
CIRC COURT Notary Public
Q-c.~[-~ (p ~
D.C. My Commiuion expires
(To b~ pawhd in duplieat~ and ori~inal Al~d_ wilh G~eic Circuit Cewt, ~nd duplicat~ wiTh Tau A~.)
80DK 164 PACf Z~Q~
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