HomeMy WebLinkAbout0883 De~laration of Domi~11• a~d Citisenship l~gZ25
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. IUCIE COUNTY, FLORI~A:
This is my declaration of Domicile and Citize~ship in ths State of Florida that I sm filin~ this day in ~ooorda~a sr?d
in conformity with Chapte? 22Z, Section 222.t7, Florida Sbtutes.
I was formerly a le~al resident of AnohoraRe ~1fl8k
Kiry) (Sta»)
Elmendorf Air_Foroe Bsae ~
end I resided at 21580 Len~OII AveII e . Howevar I haw chanqsd my domidle
(St~aet and Number)
b a~d am and have been a bona fide r~ident of the State of Fiorida sinos -Q.- day of
July 6T 2609 Oleander Aoenue
, 19 , and I reside at
(Sheet and Number)
FORT r1~CE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, sctual legal residence and domicile in the State of Horida.
(Insert here any peninent facts, such es sale of p~ope?ty or buainess, or relinquithment of empioymsnt
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at former domicile, removal of family to new domicile, purchsse of home, ett.)
F~EO aroo RECOR~o
ST, IUCIE COUNTY, ,
RECORD V~RJF~ED~
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'61 JU~ I 9 AM 10 ' 2
Establishing residence • q
f~O~Cr : OsTR~.g ~i)S rrS
` . CLERK CIRCUIT COURT
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1 FURTHER GfRTIFY that i will oomply with all other requiremsnts of s lepai residsnt of this State.
I FURTHER CERTIFY that I have no intention to rctum to my former domiGle, and I intend to remain in FORT i
s
. ,
s
PIERCE, SAtNT, IUG.t~~~0l~1NTY. F~ORIDA, permanently. ~
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: (Name) ~
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: ~ ~ - : ~ ~ David R. Littlehales ~
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Sworn to and subsuibed before me this 19 day of .Tuly ~ 19 67
ROG~ ~OITRAS -
C n ~p~~ Notary Public
gy ~.C. My Commiss'wn expires
(To b~ ~oaevhd in dupik~at~ and oriainal Al~d wilh Cl~k Ci~aiM Covet, and d~pUcals wilb Taoc A~or.)
600K ~6~ PAGE S~ ~
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