HomeMy WebLinkAbout2185 Decia~~tion ot Don~iCll~ a~d Citizenship
TO THE STATE AN~ COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the Stats of Flo~ida that I am filinq tfiis day in aooordanoe and
in oonformity with Chapte~ 222, Section 222.17. Florida Statutes.
I was formerly a legal ~esident of ~ew YorY C it' l~ Y
(City) (Stat~)
and 1 ~esided at _ 43's2 Yireo AVQ~ . Howevsr 1 heve changsd my domidle
(Street and Numbe~)
ro end am and have bean a bona fide ~esident of fhe State of Florida since 8~ day of
Hovesber ~ 19 66~ a~ ~ resids at 86 whieFering Greelic Yi 71 A8w
(Street and Number)
FORT NERCE, SAINT lUC1E COUNTY, RORIDA '
and this statement is to be taken as my declaration of citizenship, actuat legal residenoe and domicile in the Stats of Florida.
(Inse~t here any pe~tinent facis, such as ssle of property or bu:iness, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
ST~ LUCIE COUN~.ROFD
$stsbliahing residenc• R i~a~ ~/ERIFIEp •
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~iOGER i•OITR~g
~~ERK CIRCUIr COURT
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I FURTHER CHtTIFY tfiat I will oomply with all other raquiremenn of a lepal msident of this State.
~ 1 FURTHER CERTIFY that I have no intention to to my fo mer domi4le, and I intend to ~emain in FORT
PIERGE, SAINT LUCIE COUNTY, FLORIDA, permanentl
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•o,, ~nna D. St Peter
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. Swdt11'tid'end subsuibed before me this 5th day of ,pril , 19~.
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RO~iER ~OITRAS
~~CV~ CpV~ ~ Notary Public
gy a-~-~~ ~ D.C. My Commiss'wn expires
(To b~ ~arNd M dvplic,st~ an~ ori~ind Hl~d wNb Cl~lc Ciradf Carrt, and duplicaN wHi~ Tax A~or.)
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