HomeMy WebLinkAbout1444 O~claration ot Danicil~ a~d C1t~~~slNp
Tp THE STATE AND COUNTY TAX AS.SESSOR. 1586Q2
51. IUCIE ~OUNTY, FLORIDA:
This is my declaration of Domicile and CNizenship in the Stats of Florida that 1 am filinq this day in ~ao~rdana and
in conformity with Chapter 224, Section 222.17, Florida Statu»s. .
I was formerly a iegal msident of ~ velaIId ~O
. (Ciy) ~ (St~»)
arv.i 1 resided at 10029 (~~y ~venue . However ~ haw cfian~sd my domkil~
(Stroet and Number)
to end am and hsve been a bona f~de ros'~dent of the Stah of Florida sinoe 15~ ~y ~
June , 196T , and I mside at ~0 H. ~11it.h Str~t _
(Street and Numbsr)
FORT ~IERCE, SAINT LUCIE COUNTY, RORIDA
and this statsment is to be taken as my deda~ation of citizenship, actusl laqai raidence and domidle in the Sts» of FIoNd~.
(InseM here any pe~tinent fads, such as ssle of property ar business, or rolinquishme~t of employm~nt
at former domicile, ronwval of family to naw domidle, purchass of home, etc.)
Pranklin (isorge Shotto 8 yrs.
Tami ~ose 9t?otto ? yra. ~ =
FIIE-Q AN~ R~~OR~p '
TO PLACS CHILDR'!N IN S(~~ St. 1.UCIE COUN#Y. ~FIA:
RECORD VERIRtLO
~ 1586U2
` '67 JUl 2~ PM 3: s9 ~
r~~~°Y-~.r-~'~
' RO~ER ?'OITRAS
' C[.~RK CIRCWT COUIi~T
~ _
~
~
~ . .
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I FURTHER CERTIFY thst 1 will comply wiih all other requiremsMs of e lepal ~esident of thi: Shh.
I FURTHER CERTIFY that I have no intention to rotum to my former domidle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. .
al' a • O
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510 N L~ltth Street Ft. Pierce
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_ . . - _
; i 3, ~s : z~=xY (p?ddress)
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- s ~Y 7
~ ,L._ ~~`I~c~ subsuibed bafore me this 28th ~y ~ J _ 19 6.
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"'~1;~C~~ vv•~.,
'/''::.,,ROd~ rO~TRAt
~K ~ ~ Notary Publk
.
gy D.C. My Commission expires
(Te b~ uc~e~hd M d~plkM~ and ori~iaal f~d wiil~ Cl~elc Ge~aiN G~e~, and ~ wi11~ Tavc AtMae~.1
~ ~~67 ~~4~~ ~
.
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