HomeMy WebLinkAbout1332 o.aluaao~ o~ oor~lai~• ~d cit~.~s~ip
.1543i63
TO THE STATE /W~ COUNTY TAX ASSES.SOR, •
ST. LUCIE COUNTY, FIORIDA: t~
This i: my d~daratio~ of.Domicile a~d Citi~n~ip in th~ State of Horida that 1 un filinp this day i~ aooord~~a and
in aonformity with CMpter 2Z2, Ssction 222.17, Florida Statuta.
I was fcrm~ly a Ipal rosid~+t of ~a~e Tndi ~a
. ~CitY) ~St'h~
and 1 rosidsd at Rt. 11 ~ _ . tbwwK 1 haw ch~~p~d my domWl~
(Str~st a~d Numb~r).:
ro and am snd h~w bs~n a bona fid~ ~id~+t of ths Stab of Horida tina~ ~Y ~
Nave~ber 19.~_, snd 1 r~id~ ~r Rt 4 Baoc 38~ -
~ (Stre~t and NumbK)
~ORT M~CE, fAWT LtICI! COtNiiY. lLORIDA
and thit sfat~?t is to b~ tak~n as my e~deratbn of citis~mhip, adua! IeQa! :esitlena ~nd ~domidl~ in th~ State af Horid~.
pnsKt hsr~ any pKtinsM fads, such ~~le of propKty or businas, or hlinquishmsnt of ~mpioym~M
at formK domidl~. a+noval of famlly to n~w domidl~, purchaa of Iwrr~s, rtc.)
Hd~SESTRIID P0~0.~E3
. f~~a ~N°rr~~~
sT~REC~
~ VERIFI~O ~ -
- - 15~~06 - -
~6Z M~R 3~ ~ 10
~
- .~i'~~~,s
ROGE~ ~ovRT
~LERK CIRCUIT
; 1 RJRTHER CE~tTIFY tlut ! will_ aompfy with all oth~r nquir~is of a leyal nsid~nt af th4 Stat~.
i •
i FURTHER CFRTIFY that I have no intention to mtum to my former domkile, and I intMd to remain in FORT
I~
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
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, •~ry~aib~d bsfore ms this 30tb ~y l+larah . 19..b~_.
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~OOi! ~OITRI?:
CLYK GRtxNT Notary Publk
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gy D.C. N?y commission .xplr~s
~T~ M~oacM~ M i~ileal~~aM1 ~~I AMd wilr CINk CI~aiN Cw~, aad d+'IiaN wi11~ Tax A~~J
~165 ~i~29
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