HomeMy WebLinkAbout2523 Declaratlon ot Domi~il~ and Cltiz~nshlp
TO THE STATE AND COUNTY TAX /ISSESSOR, ~ ~S~J I. .
5~ . IUCIE COUNTY, FLORI~A:
This i: my declaration of Oomicile and Cjtizenship in ths State of Florida thst I am fllinq thi: day tn aooordanas s~d
in conformity with Chapte~ 222, Saction 222.17, Florida Stahrt~s. -
I was formerly a 1e9e1 resident of ~hland 1CsntuClq
Kiry) (Sta»)
3400 South 29th atreet
and i resided at : Howev~r 1 haw dtan~d my domitjle
(Straat and Number)
ro and am and have bean a bona fide rosident of the State of florida sinoe day of
Juae ~
,~9 6? , and I ntids at _ 110 ROee131Y1 ~~e. -
(Street and NumbK) ~
FORT r1~CE, SAINT LUCIE COUNTY, fLORtDA
and this statement Is to be teken as my declaration of citi~enship, actuai legal residenoe and domidle in the Statr of Florida.
(Inserf here any pe~tinent facts, such as sale of preperty or buaineas, or ~elinquishment of employm~nt -
at fo~mer domicile, ~emoval of family to n~w domicile, purchase of twme, etc.) ~
Batabl~ahdng reaidenay and ~ntsring hia child in school in the hZl
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ANo ~EN~Yp~~' . i
F~LE~~~E ~~V a1F~~'~
s~• RE~oR~ i;r~~•'~'~
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I FURTHER ~ERTIFY that 1 wili oomply with all otF~ ~squi~ts of e(spai residenf of fhis State.
1 FURTHER CERTIFY tha~ I have no intention to ratum to my former domicjle, and 1 intend to remain in FORT =
PIEttCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~
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~~'$N?~crirl ~ a~~Lbstribed before me this 21 day of - J~e , 19 6?? T
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ROG~ rO1TRAS ~
~~RC~ Notary Public
BY G~ D.C. My Commiuion expims
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Ro b~ uaa~d in d~piicah and ori~inai Al~d with Cl~k Ci~arM Cowf, ~nd d~pReah wi~ Tax A~era
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~166 ~2;~21
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