HomeMy WebLinkAbout2250 D~cla~ation ot~ Domiail~ and Citls~~ship
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TO THE STATE AND COUNTY TAX ASSESSOR, 1~~~ -
Si. LUCIE COUNTY, F~ORIDA: ~
Thi: is my declaration of Domicils and Citi~ruhip i~ th~ Stat~ of Florlda that I am filinp this c+~y in aooordana and
in aonfo?mity with Chapter 222, Sattio~ 222.17, Fiorida Statut~s.
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I waa forme~ly a Isyal roside~t of ~M~ ~ ~
(Cib) (Sts»)
and I rosided at _ 9238 Cheple Hill Terrace .~V1e~ 1~ve chanqed my domWle
(Sh~et and Number)
to and am and have been a bona fide rosident of the Stst~ of Florida sinoe ~Y ~
, 19 , and 1 ro~ide at
~ and Number)
FORT NHCE, SAlNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, sctusl le~al residenas and domidle in fhs Stats of Horida.
pnsert here any pertinent facts, such a: ~le of property or business, or mlinquishment of emplaynwnt
at former domicils, reawvsi of family to new domicile, purcha:e of home, etc.) _
"Col John R Roche ia in the lir Force at the present ti=e~ arid it is hia
- intent to malce ~.orida his haaie~ when he retirea 3n 1971. Ae o~ma a Lot
. in Qneens Covs and e~cpecta to make thia hia haas.•
- FIlEO ANO RECOitDEO
ST.RECORO VERI IEOLA~
; l~'7t~33 j
j '6Z Jtl'~ I S PM 1: 51
~
~ ii0'.iEi' ?OITRMS
~ CLERK CIRCUIT COURT
i FURTHER CHtTiFlf that I will oompiy with ell otfisr requirar~enf= ot a le~al resident of this Stat~.
1 FURTHER CERTIFY that I have no intention to retum to my forme~ domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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. .,y r 'i~ . `~ol. Jol~° e
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'''~;1 ~Y~ Patricia L A~che
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=~worn b and subsuibed before me this 15~ day of J~e , 19~T
- " ROGER rO1TRAi _ ~
CIRCUR C ~ Notary Publk
By D.C. My Commission e~cpires
lTe b~ ~x~ar~ad ia d~rplicM~ an~ eei~inal Nl~d with Cl~rk Cina~it Cour1, ~nd drpiicata wiTh Tax A~or.)
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