HomeMy WebLinkAbout2805 ~ 15~~4 .
D~ciaration ot Oomicil~ and Citi:~nship
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
Thi: is my declaration of Domicile and Citizenship i~ the State of Florida that 1 am filin~ ti~it day in aooordana~ and
in oonfo~mity with Chapter 222, Settion 222.17, Florida Statutes.
Van Nuys
1 was forme~ly a legal resider~t of ~~~~b~i'L_ C8lifornia
tCity) (St~t~)
and 1 resi~~sd at 8862 Van Nu~g Etvd . However I hew charpa! my domWl~
(Strsst and Numbe~) ~
to and am and have been a bona fide resident of the StaM of Florida :ince 19th - day of
February , 19 6? , a~ ~ ~~i~ ~ 420b~ Sunrise Biy -
(Strest snd Number) •
l~ORT M~CE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, attual le~aal residenos and d~micile in the State of Florida :
pnsert here any pe~tinent facts, such a: sale of property or busineu, or relinquishment of employment
st former domicile, removal of family to new domicile, purchase of homs, etc.)
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o"~-° ~ Bntering 2 children in school -
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~ o~>r~l ~ A.mber Roxanna Goddard in 9th Grade
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+ p~~ 7 oY Eric Newton Goddard in 6th grade .
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1 FURTHER CERTIFY that I will oomply with ali other requirements of a lepal resident of this State.
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~ ~ f11RTHER CERTIFY thet I have no intention to retum to my formcr domic~le, and I intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly. '
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, . 1~ . JuliVa~eneva Goddard
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•.,~3~;• n., ~p~~ ~t~}'~ol;subscribed before me this 8th day of Ma rch , 19~~.
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'~`~f: ' ~ Notary Public
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; • D.C. My Commission expims
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~ ~ooK164 P~2802
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