HomeMy WebLinkAbout1585 D~lar~tio~ ot Domicii~ ,and Citis~nship ~`~S~
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TO THE STATE AND COUNTY TAX A?SSESSOR,
Sl. ll1CIE COUNTY. FIORIDA: -
This i: my declaratlon of Oomicile a~d Citirn~ship i~ tM St~t~ of Horid~ that 1 am filin~ thi: day in aooordano~ a~?d
in co~formity with Chaptsr 224. Section 222.17, Florida Statuhs.
I was formsrly a Ipsl rosid~nt of $ast Hartfard ~'-~+._„~_t;~ut
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s„d ar ' 94 Prat t St reet . Now.wr ~ haw che~d my domkiN
(Stnst a~d Number)
to and am a~d have been a bona fids resid~nt of t!k Sta» of Fiorida sinas ~ ~Y ~
Aptil , 19~.Z., and I reside at tnt GBr~..~ Ay~,~„e
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FORT MERCE, tA1NT L1lCIE COUNTY, RORIOA
and this statement is to b~ taken as my declantion of dtizenship, actusl leqal reiidena and domidle in the Stste of Horida-
(Insert hsro any. p~r~inent facts, such a: sale of property or businss=, or retinquishn+ent of employn~+nt
at former domidl~, rsrtwvai of family to new domicile, purchase of hane, ~tc.) ,
FtLEO~ ANO RECORDEOt
8T. LUCI~ COUN7Y. Fl.~?-~ ` 8ntering ~ -
RECOR~J VE FIE~
Ralph H. Davis in Sth Grade
7 ~n~~. ~p ~ 45
~ ~~4~~ ` Deborah Ann Davis 'in 3rd Grade
~p;C? P01TRaS Michael Bdwin Davis in 2 nd Grade
~I.ERK ClRCUIT COURT
~ in Schooi
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1 fURTHER GHtTIFY that I will aomply with all atF~ roquir~rr~snri of a le~sl rosident of fhis Shit.
I FURTHER CERTIFY that I have no intention to retum to my former domiCjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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; . (Nams)Mrs everiy Davis
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. ' - _ (pddress)
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• J -s subsaibed beforo me this 4th day April ~-19 6?
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L'I~ rorn~?s - -
CL~K C~CtHT COIIRT Notary Public
g ?.~t ~ O.C. My Commission expires
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- (T~ b~ acswN~d M d~pNat~ awd e~i~al Al~d wilb G~k Circvit Gw1. snd d~Piial+ wi1M Taoc A~wor,?
~ gooK ~65 P~~E ~.58~. ~
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