HomeMy WebLinkAbout2190 Declaration ot Do~nicil~ and Citts~nship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Si, lUC1E COUNTY, FLORIDA: i
This is my declaration of Oomicile a~d Gitizanship in the State of Florida th~t 1 am fil;n~ thls day in sawdanoe and
i~ confo~mify with Chapte~ 222, Saction 222.17, Floride Statutes. -
I was formerty.a iayal reside~t of ~~~VI ~ ' TETiN~
(Ci~Y~ (St~»)
and I residad at ;~~321'~ CUZ't18Road . Howevaf 1 have chan~sd my domicjle
(Street and Number)
b and am and have been a bona fide resident of the State of Florida sinoe dey of
A»pust , 19.~k~, and 1 reside at _504 Parkway Drive
(Shaet and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA .
and this stafement is to be taken as my declarotion of citizenship, attuaf legal residencs and domic~te in the Staro of Horid~.
(Insert here any pertinent fact:, such as sale of property or business, or reljnqulshment of employment
at former domicile, removai of family to new domicile, purchsss of home, etc.)
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Establishing residence
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1 FURTHER CHtTIFY that I will aompty with all othar raquireme~fs of a(eyat resident of this State.
~ I FURTHER CERTIFY that I have no intention to retum to my former domic~le, and 1 intend to remain in FORT
~ P1ER ~ • u~,~ COUNTY, FIORIDA, pe?mnnently.
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~ •f .:I - ~ - J ' Mar jorie ~ C~iipman
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Sworn to and subscribed before me this 13th day of ADril ~q~2.
.
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~ ROG~ POITRAS
~ CIRCUR COURT Notary Public
gY D.C. My Commiuion expires
Re 6~ ~aaN~d in dupliu~ aed ori~inal Al~d wi~h Clwk qrwh Cou~t, and dupiicat~ wi1U Tax As~e~a
BOOX16t~ PACE2~.~ -
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