HomeMy WebLinkAbout0067 o.alaration ot oomla~~• ar~d c•it~~~nshlp . ~5~~.
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TO THE STATE AND COUNTY TAX ASSESSOR, - -
51. llK1E COUNTY, FLOR~DA:
This is my decla~ation of Domicils and Citiz~nship in ths St~» of Horid~ that 1 am fili~q this day in ~ooordanw and
in aonformity with Chaptsr 22Z. Section 222.17, Florida Statut~s.-
1 was formsrly a Ipa! ~esid~nt of w~hur , Tasae
K~N) (St~»)
and ~ rasidsd af 1t01 4~'oline . HovwvK i haw thup~c! niy domWl~
(Stra~t and Numbsr) -
to and am and have baen a bona fide msidant of the Sbte of Floride since 16th day of
~b~~ , 19~Z_, and 1 nsid~ ~t 131 Solas ~vs Port St.I.ude
(Strert and N~mb~~)
I~ORT'IERCE, SAINT L!lCIE .40UNTY, lLORiDA - _
and this stat~nt is to. be tsk~n ss my dedaration of dNunship, actual ipal residenc~ and domidl~ tn fhs Stet~ of Horida.
qnsart here any pe~tinent fach, such a: ~le of propKty or bueinsu, or roiinquishm~nt of ~n?ployme~t
at former domidl~, mmoval of famlly to new domtcile, purchas~ of hom~, Nc.)
I~ILED
&~tering diildren in school ST.R UC
E ~ou
~CpJ~~p:
ECORD yER' T• Et~,1; t . .
Satablishing residence ~ 1FIE0 .
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~~ERK CIRC(j~TRAg .
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1 FURTHER GERTIFY fhaf 1 wll! oompiy wifh all a~fher nquiremsnb of e Ispsl rosident of this State.
1 FURTHER CERTIFY that I have no intentlon to retum to my former domitile, and I intend to remain i~ FORT
PIERCE, SAIN7,-;f.t~G1E COUNTY, FLORIDA, permanently.
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~ ~ ~ ' ~ Qiarles Mitchell
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! L~Arr to and wbxribed before me this ~y of liarCll 19 6?
ROOER lOITRAS ~
ClRCWT COiIRT - Notary Public
gy °`'`''E'~'G ~~~'u D.C. My Commission expires
(Ti b~ ~ M d~ and ari~inal Al~d wilb CIMIc Ciraik Cw~. ~nd du~kaN wilM Tavc A~a
aoox165 66 ~
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