HomeMy WebLinkAbout2419 ~eclaratlon of ~ornicile and Citlzenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. lUC1E COUNTY, FIORIDA:
This is my declaration of Oomicile and Citize~ship in ths State of Florida that I am filinq this day in ecnordsnoe and
in oonformity w;th Chapter 222, Section 222.17, Fb~ids Statutes.
I was formerly a legal ~esident ~f $.9mervi lle New Jer ev
(Ciy) (Sta»)
and 1 ~esided at , 421 Counti~ C~ub ROad . However 1 hsve chanqed my domidle
, (Sneet and Number)
to and am a~d have besn a bona fide retident of the State of Fiorida sinoe 15th dey of
October 19 66 ~ and I rsside at - 305 Riemar Drive
(Street and Numbsr)
PORT ~IERCE, SAtNT tUC1E COUNTIf, ELORIDA ~~er Park
and this atatement is to be taken as my declaration of citizenship, actual legal res:dence and domidle in the State of Florida.
(Insert here any pertinent facts, such aa sale of properfy or butiness, or roHnquithment of emplayment
at fo~me~ domicile, removal of family to new domicite, purchsse of homa, etc.)
Establish Residency
Homestead Purposes -
fILED AND RECORD~~
ST.RECORD VERIF ED`A~
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.
'61 FEB2S a~,:3z
15~~
nOv~ rOizRaS .
CLERK CIRCUiT COURT . . _
1 FURTHER~CERTIFY that I wil) oomply wlth all other raquimments of a Is~al resident of this Stafe.
t:
! FURTHER CERTIFY that I have no intention to return to my former domicjle, and I inte~d to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FCORIDA, permanently. ~
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(Name)
Raymond A. Becker
1
. ~ (Address)
~~;~t~~trtjj;'`•- '
j:;~ •
.,rS,ApJ~i~p ar~d subscr~bed before me thi: 28 day of Februar~' , 19~.
'v~`.'s~`r~•.;Aj?''~-. -
• _ '~~Y'~ G°' ~ =
- , ~IEC~U~R
COURT ~ Notary Public
p~,'~" , ~
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~S,~i'•~ D.C. My Gommiuion expires
" G. '
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ITe 6~ ~x~evf~d in dvp{icat~ an~ oeioinal fil~d wilb Clwk Circvif CouM, and duplicat~ wieh T+uc Asw~or.)
- 6~~164 ~2415
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