HomeMy WebLinkAbout2478 15:31(ly
Declaration of Dorr~tcti~ and Citise~ship
TO THE STATE AND GOUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citize~ship in the State of ~lorid~ that 1 am fili~ this day in aooordsnos and
in aonformity with Chapter 222, Ssttion 222.17, Florida Statute:. , -
1 was fo~merly a le9al roside~t of 8u~ler GeerQia
(Ciy) (Sta»)
and 1 ~esided at ~ Reute 2'DQ~rcft~c~[ttic~cColumbus Rd., ~~y~ my domidle
(Stteet and Number)
to and am and have been a bons fide re:ident of the State of florids sinoe 16th day of
Febru~ry ,~q 67 , a~ ~ r~t~ ~t 115 Indian Hills Drive
(Stro~t snd Number)
l~ORT PIERCE, SAINT LI~CIE COUNTY, FLORIDA
end this atatement is to be takan as my declaration of citizenship, sctusl le~al residena and domicile in the State of Horida.
(Insert here any pertinent fact:, such as sale of propeny or bu:iness, or mlinqui:hment of employment
at former domicile, rennoval of famity to new domicile, purchas~ of hom~, etc.)
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Entering Jimmq Dale Melton in ist Grade
RiLffD ANO RECQE~R~t'~,
ST.RECORD ~ER~IF
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~ 153149
- ROGER 'OITFtAS
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that I will oomply with all other rsquiramenn of a le~ai reside~t of this State.
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i I fURTHER CHtTIFY that I have no intention to retum to my former domicjle, and ! intend to rQmain in FORT
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€ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permsnently.
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~ ~ ,;r • _ (Name ~
? ``-r ° - Linda Melton (Mrs. Jimmy Melton
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~ ~'~r`-`,-_ solp~lbeel tiefore me this l s t . day of - March ~ , 19_bZ. -
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s gy O.C. My CommFuion expires
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w d~rpti o~inal til~d , ~nd wHb Taoc At~or,1
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