HomeMy WebLinkAbout2256 D~cluatton ot Do~ictl~ a~d Cit~~nship -
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TO THE STATE AND COUNTY TAX ASSESSOlt,
St. LUCIE COUNTY, FLORIDA: " '
This is my decla~ation of Domicile and Citisenship in the Sbt~ of Horida that I am fili~q this day in accordano~ a~d
in conformity with Chepter 222. Settion 222.17, Norida Statut~s.
I was formsrly a leyal rosid~nt of ' Ma~chsater ~ Gsorgia
(City) (Stab)
and 1 r~idsd at ~u~ 1 Raleigh A~ad . Mow~vK I have d~arp~d my domidie
(Stroet and Number)
w and sm and have bsen a bona fide resident of th~ Stab of Fiorid~ sinos 9th ~y ~
J~ .
19~L2_, and 1 r~ide at 1S'1Q .ac:s lve
(5tra~t and Nuniber)
FORT N~C~, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my ~claration of dti~enship, sctual leyal residenas and domicile in the Stsh of Florida.
• pnsert here any pertinent fact:, such as aale of propeMy or bu:insu, or roli~qulshment of employm~nt
et former domicils, romoval of family to naw domicile, purchase of home, etc.)
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Establiahing residence -
FI~EO AND RECOROEDI.
5T, IUCIE COUNTY. R~A.~
RECORD YERIFIEb
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'6T JUN I~ PM 2:29~
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i?OGER POtTRAS
~ c~.EaK c~acu~T couRr
i FURTHER CfRTIFY that 1 will aomply with all other roquiremenh of s lepal resident of thi: State.
1 FURTHER CE~tTIFY that i have no intention fo retum to my former domitjle, and 1 intend to remain in FORT
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PIERCE, SAINT~~L~~{~;g~i}~TY, F~ORIDA, permane~tly.
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~ a - Frank K. (3oforth
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SwofA'~d'end subsaibed before me this l~th day of i»n° , 19SLZ_.
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_ ROOER ~OITRA~
C~JR COIlRT ~ Notary Public
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gy ~'~'L ~ D.C. My Commiuion expires
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= tTe b. .oc.arl.d i~ dupik.~..nd ort~tnal til~d whh a.~lc ci~a~it ceu~f, .nd ~p~a/. wMb Tax As....era
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