HomeMy WebLinkAbout1653 D~Iuatlo~ ot Domiaiie aed ~ Citts+~nship
TO THE STATE AN~ COUNTY TI1X ASSESSOR. ~ ~~4G~w
W't
Sl. ltKtE COUNTY, FLORIDA:
Thit is my dett~~~tion of Oomidle and Citi~ship in th~ Sta» of Florida that 1 am filinp this d~y in aooorda~a and
in conformity with Chaptet ~Z2, Sation 2~~.17, Florida Statuht. .
i wa= forme~ly a Ipal rosld~nt of Tolldnd ~ Con~r
- N~ib) (St~t~
and I nsidsd. at G008B I.aL1L' - . Hovwver 1 h~w charp~d my domWi~
(Stn~t and Number) -
ro and am and hsve been a bona ftde r~tdent of t~ Stats of florids :ino~ lst ~y
lrlarcb , 19 6T , i~ ~ 138 Lucero Dr. ~
(StnM and Numbsr)
FORT rl~, SAtNT L11CIE COtINTY, RORIDA .
and this stat~+nsnt is to be taken e: my • deda~atbn of citir~mhip, adual teq~l r~idena end domidl~ in th~ Statr of fbrlda.
.
pnsert her~ any pertine~t fsds, wch as ssis of prop~rty or bu:ir?ess, or nlinqui=hm~nf of employm~nt
at fo~mer domicil~, ~smovel of famity to Mw domkile, purdu~ of homs, ~c.)
8ntering chiid in public school -
ftEC~~F~~j~-' ~
Ph-E~ AN ~pUN~ ' . .
. ;T.1.UC~~ y~R1F~Eo
RECO154~ -
5 p~ 10 ~ 3y -
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61.ER
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I R/RTHER C~tTtFY that 1 wii) aompty wlth alt ot~ requi~srr~nts of • Ipal residu~t of thts State.
E •
' i FURTH~R CERTIFY that I have nc intention ro mturn to my former domidle, and 1 intend to remain in FORT
~
PiHtCE, SAlNT LUCIE COUWTI/, FLORIDA, permanently.
F
r
, ~ ~
Dorothy G 11ey
~ ,
.....:~::.,~f~f , .
':~~j E~ yi~~~ (Addrass)
: ' ~ ~ V,~ ~y~;_ -
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::4~ i J G: • ` Sth April 67
~~a isvd'~«~bsd ~,s d~y of i9
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, `~T Notary Publk
gY D.C. My Commiubn expiros
~Te w M drpNai~ asd erioMai fiMd w1d~ ~eic Ci~+aiM Cw~?, aad d~licN~ wilb Tavc A~~a
600K ~65 FAGc ~~49
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